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

Individual provider Surgery Physician · NPI 1528269214

Dr. Deepu Sudhakaran, MD is a General Surgery in Saint Louis, Missouri. Qualified in 1998, 28 years ago. Practices with Physician Services and Consulting, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
28
Licensed in
IL, MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10004 Kennerly Rd Ste 295B
Saint Louis, MO 63128-2177
Phone: (314) 500-2424
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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 2015033187 (MO)
Surgery Physician Taxonomy 208600000X · Licence 036127430 (IL)

Record details

NPI number1528269214
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Physician Services And Consulting, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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