| Doctor Name: | DR. SUDHIR R RAIKAR |
| NPI Number: | 1124013487 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | R8500 |
| Business Practice Address: | 83 Progress Pkwy Maryland Heights, MO - 630433701 |
| Business Phone Number: | 3144348174 |
| Business Fax Number: | 3144348706 |
| Mailing Address: | 920 Bellerive Manor Dr, CREVE COEUR |
| State: | MO |
| Postal Code: | 631416094 |
| Phone Number: | 3144346841 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2005 |
| NPI Last Update Date: | 02/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207PP0204X |
| License Number: | R8500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Emergency Medicine |
| Taxonomy Specialization: | Pediatric Emergency Medicine |
| Taxonomy Definition: | Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |