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RAFI FREDMAN MD
NPI 1972923126
Surgery - Plastic and Reconstructive Surgery in Saint Charles, MO

Active since April 25, 2014
1551 WALL ST STE 420, SAINT CHARLES, MO 63303(636) 329-4036(636) 206-2898 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2021, Jun 11, 2020, Mar 19, 2020 (3 updates tracked since 2020).

About Rafi Fredman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAFI FREDMAN MD (NPI 1972923126) is an individual plastic and reconstructive surgery provider in Saint Charles, Missouri, licensed in Missouri (2019032397) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1972923126
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameRAFI FREDMANCredential: MD
Location Address1551 WALL ST STE 420Saint Charles, MO 63303-3541
Mailing Address1551 Wall St Ste 420Saint Charles, MO 63303-3541 · (636) 329-4036
Phone(636) 329-4036
Fax(636) 206-2898
Sole ProprietorNo
Enumeration DateApril 25, 2014
Last NPPES UpdateDecember 17, 20213 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
✔ NPI 1972923126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MO · 2019032397
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1551 WALL ST STE 420, Saint Charles, MO 63303
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAFI FREDMAN MD LLC
Clinic/Center
1551 WALL ST STE 420
SAINT CHARLES, MO 63303
St. Charles County (636) 329-4036
DR. ALAN TOM M.D.
Surgery (Plastic and Reconstructive Surgery)
1551 WALL ST STE 420
SAINT CHARLES, MO 63303
St. Charles County (636) 329-4036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafi Fredman's NPI number?

The NPI number for Rafi Fredman is 1972923126. It was assigned to this individual provider in the NPPES registry on April 25, 2014.

Where is Rafi Fredman located?

Rafi Fredman practices at 1551 Wall St Ste 420, Saint Charles, MO 63303. The listed phone number is (636) 329-4036.

What is Rafi Fredman's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Rafi Fredman was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.