Infectious Disease, PC
Infectious Disease Physician · Saint Louis, MO
Practice location
10004 Kennerly RdSuite 368b
Saint Louis, MO 63128-2141
- Phone
- (314) 729-1570
- Fax
- (314) 729-1575
NPI record
- NPI
- 1609065051
- Entity type
- Organization (Type 2)
- Enumeration date
- October 22, 2007
- Last updated
- February 18, 2008
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Infectious Disease Physician Primary | 207RI0200X |
— | — |
| Registered Nurse | 163W00000X |
— | — |
| Acute Care Clinical Nurse Specialist | 364SA2100X |
— | — |
Mailing address
1836 Lackland Hill PkwyAttn: Credentialing
Saint Louis, MO 63146-3572
- Phone
- (314) 872-1439
- Fax
- (314) 810-1399
Authorized official
- Name
- Dr. Suresh Nellore, MD
- Title
- Authorize Official
- Phone
- (314) 729-1570
About Infectious Disease, PC
Infectious Disease, PC 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, Suite 368b, Saint Louis, MO 63128-2141. The NPI number 1609065051 was assigned on October 22, 2007 and the record was last updated on February 18, 2008.
The authorized official for this organization is Dr. Suresh Nellore, MD, Authorize Official.
Frequently asked questions
What is the NPI number of Infectious Disease, PC?
The NPI number is 1609065051.
What is the phone number of Infectious Disease, PC?
The phone number listed for the practice location is (314) 729-1570.
Where is Infectious Disease, PC located?
10004 Kennerly Rd, Suite 368b, Saint Louis, MO 63128-2141.
What is the taxonomy code for Infectious Disease, PC?
The primary taxonomy code is 207RI0200X – Infectious Disease Physician; 2 more listed above.
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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