Infectious Disease
Infectious Disease Physician · Saint Louis, MO
Practice location
10004 Kennerly Rd Ste 295bSaint Louis, MO 63128-2177
- Phone
- (314) 740-2949
- Fax
- (314) 375-5020
NPI record
- NPI
- 1225494628
- Entity type
- Organization (Type 2)
- Enumeration date
- January 14, 2016
- Last updated
- April 23, 2025
- Certified
- April 16, 2025
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Infectious Disease Physician Primary | 207RI0200X |
108767 | MO |
Mailing address
10000 Kennerly Rd295b
Saint Louis, MO 63128
- Phone
- (314) 740-2949
- Fax
- (314) 375-5020
Authorized official
- Name
- Dr. Suresh Nellore, MD
- Title
- MD
- Phone
- (314) 740-2949
About Infectious Disease
Infectious Disease is a healthcare organization registered in the NPI registry with the primary taxonomy Infectious Disease Physician (code 207RI0200X). The practice location is 10004 Kennerly Rd Ste 295b, Saint Louis, MO 63128-2177. The NPI number 1225494628 was assigned on January 14, 2016 and the record was last updated on April 23, 2025.
Infectious Disease lists a license in the registry: #108767 (MO) for Infectious Disease Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Suresh Nellore, MD, MD.
Frequently asked questions
What is the NPI number of Infectious Disease?
The NPI number is 1225494628.
What is the phone number of Infectious Disease?
The phone number listed for the practice location is (314) 740-2949.
Where is Infectious Disease located?
10004 Kennerly Rd Ste 295b, Saint Louis, MO 63128-2177.
What is the taxonomy code for Infectious Disease?
The primary taxonomy code is 207RI0200X – Infectious Disease Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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