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

St Louis Surgical Doctors Group LLC

Organization Specialist · NPI 1417126210

St Louis Surgical Doctors Group LLC is a Specialist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3535 S Jefferson Ave Ste 201
Saint Louis, MO 63118-3930
Phone: (314) 577-5778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2004034166 (MO)

Record details

NPI number1417126210
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anil Srivastava — Physician · (314) 577-5778
NPI enumeratedFebruary 26, 2008
Last updated in NPPESFebruary 26, 2008
Mailing address548 Claymont Place Dr, Ballwin, MO 63011-2553

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