Suri, Jagdish
Suri, Jagdish is an individual health care provider with primary practice located at 763 S New Ballas Rd Suite 110, Saint Louis MO 63141-8704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Suri, Jagdish can be contacted via phone (314) 569-1717.Contact Information
Primary practice address
763 S New Ballas Rd Suite 110
Saint Louis MO 63141-8704
Phone: (314) 569-1717
Fax: (314) 569-0441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | R8008 | Missouri |
Profile Details
| NPI number | 1144228958 |
|---|---|
| LBN Legal business name | Suri, Jagdish |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Oct 3rd, 2012 - about 12 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 | 1144228958 | NPPES |
| Missouri | MEDICAID | 201419272 |
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