Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mysorekar Surgical

Organization Surgery Physician · NPI 1003231002

Mysorekar Surgical is a Surgery Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014

Practice location Address checks out

8342 Delcrest Dr Apt 303
Saint Louis, MO 63124-2100
Phone: (314) 359-5648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 108329 (MO)

Record details

NPI number1003231002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rajeev Mysorekar — Manager · (314) 359-5648
NPI enumeratedFebruary 27, 2014
Last updated in NPPESApril 22, 2014
Mailing address8342 Delcrest Dr, Apt 303, Saint Louis, MO 63124-2100

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