RAFI FREDMAN MD NPI 1972923126

NPI Information

  • NPI: 1972923126
  • Provider Name: RAFI FREDMAN, MD
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • CLIA Number: 26D2237746
  • Address: 1551 WALL ST STE 420
    SAINT CHARLES, MO
    ZIP 63303
  • Phone: (636) 329-4036

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NPI Details

Rafi Fredman, MD is a plastic and reconstructive surgery surgery in Saint Charles, MO. The provider is a surgeon who specializes in plastic and reconstructive surgery. Rafi Fredman, MD NPI is 1972923126. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1551 WALL ST STE 420
SAINT CHARLES, MO
ZIP 63303-541
Phone: (636) 329-4036
Fax: (636) 206-2898

The CLIA number assigned to this NPI record is 26D2237746 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2014 and was last updated on 12/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive Surgery2019032397MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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