Individual
DR. JAGDISH SURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
763 S NEW BALLAS RD, SUITE 110, SAINT LOUIS, MO 63141-8704
(314) 569-1717
(314) 569-0441
Mailing address
5000 CEDAR PLAZA PARKWAY, STE 350, SAINT LOUIS, MO 63128-3441
(314) 843-4333
(314) 843-4856
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R8008
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201419272
—
MO
Enumeration date
07/14/2005
Last updated
10/03/2012
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