Infectious Disease
Infectious Disease is an Infectious Disease Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2016.
- Licensed in
- MO
- In the registry since
- 2016
Practice location Address checks out
10004 Kennerly Rd Ste 295BSaint Louis, MO 63128-2177
Phone: (314) 740-2949
Fax: (314) 375-5020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Infectious Disease Physician (primary) | Taxonomy 207RI0200X · Licence 108767 (MO) |
|---|
Record details
| NPI number | 1225494628 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Suresh Nellore — Md · (314) 740-2949 |
| NPI enumerated | January 14, 2016 |
| Last updated in NPPES | April 23, 2025 |
| Certification date | April 16, 2025 |
| Mailing address | 10000 Kennerly Rd, 295b, Saint Louis, MO 63128 |
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