Provider Demographics
NPI:1083616635
Name:FEINBERG, RACHEL A (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:FEINBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 798308
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63179-8003
Mailing Address - Country:US
Mailing Address - Phone:314-985-3002
Mailing Address - Fax:314-985-3013
Practice Address - Street 1:10435 CLAYTON RD
Practice Address - Street 2:STE 120
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2931
Practice Address - Country:US
Practice Address - Phone:314-985-3002
Practice Address - Fax:314-985-3013
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR5F21207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO202326310Medicaid
MO016011300Medicare ID - Type Unspecified
A25204Medicare UPIN