Nellore, Suresh
Nellore, Suresh is an individual health care provider with primary practice located at 10004 Kennerly Rd Suite 286 B., Saint Louis MO 63128-2141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Nellore, Suresh can be contacted via phone (314) 487-8724.Contact Information
Primary practice address
10004 Kennerly Rd Suite 286 B.
Saint Louis MO 63128-2141
Phone: (314) 487-8724
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 108767 | Missouri |
Profile Details
| NPI number | 1144297862 |
|---|---|
| LBN Legal business name | Nellore, Suresh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Oct 5th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144297862 | NPPES |
| Missouri | MEDICAID | 208059923 |
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