Provider Demographics
NPI:1528015666
Name:SUNDY, RAEL DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:RAEL
Middle Name:DAVID
Last Name:SUNDY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1035 BELLEVUE AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1854
Mailing Address - Country:US
Mailing Address - Phone:314-925-4744
Mailing Address - Fax:314-925-4764
Practice Address - Street 1:1035 BELLEVUE AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1854
Practice Address - Country:US
Practice Address - Phone:314-925-4744
Practice Address - Fax:314-925-4764
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2013-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2004028846207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1164534219Medicaid
MO1164534210Medicare PIN