Edla, Sushruth

Edla, Sushruth is an individual health care provider with primary practice located at 1390 Us Highway 61 Ste N1500 , Festus MO 63028-4137. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Edla, Sushruth can be contacted via phone (636) 933-5055.

Contact Information

Primary practice address
1390 Us Highway 61 Ste N1500 Festus MO 63028-4137
Phone: (636) 933-5055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 57.020812 Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2019014001 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 57.020812 Ohio
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 2019014001 Missouri

Profile Details

NPI number 1821343179
LBN Legal business name Edla, Sushruth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2012
Last updated Aug 12th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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