Samudrala, Suseela
Samudrala, Suseela is an individual health care provider with primary practice located at 11125 Dunn Rd Suite 311, Saint Louis MO 63136-6132. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Samudrala, Suseela can be contacted via phone (314) 355-7880.Contact Information
Primary practice address
11125 Dunn Rd Suite 311
Saint Louis MO 63136-6132
Phone: (314) 355-7880
Fax: (314) 355-8899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | R8290 | Missouri |
Profile Details
| NPI number | 1881658292 |
|---|---|
| LBN Legal business name | Samudrala, Suseela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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