| Prityi Rani, MD | |
|
300 Medical Plz Ste 221, Lake St Louis, MO 63367-1483 | |
| (636) 625-6041 | |
| Not Available |
| Full Name | Prityi Rani |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 31 Years |
| Location | 300 Medical Plz Ste 221, Lake St Louis, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073891552 | NPI | - | NPPES |
| 2011013993 | Other | MO | MO TEMP LICENSE |
| 2015007982 | Other | MO | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 2011013993 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Joseph Hospital-lake Saint Louis | Lake saint louis, MO | Hospital |
| Ssm Health St Joseph Hospital-st Charles | Saint charles, MO | Hospital |
| Ssm Health Depaul Hospital St Louis | Bridgeton, MO | Hospital |
| Ssm Health Saint Louis University Hospital | Saint louis, MO | Hospital |
| Ssm Health Rehabilitation Hospital | Richmond heights, MO | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Medical Group Inc | 6608776299 | 565 |
| Entity Name | SSM Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
| Mailing Address | Practice Location Address |
|---|---|
| Prityi Rani, MD Po Box 955534, Saint Louis, MO 63195-5534 Ph: (636) 498-5973 | Prityi Rani, MD 300 Medical Plz Ste 221, Lake St Louis, MO 63367-1483 Ph: (636) 625-6041 |
Gihan A Kader, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 Medical Plz, Suite 103, Lake St Louis, MO 63367 Phone: 636-625-0206 Fax: 636-625-4777 |