Organization
INFECTIOUS DISEASE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH NELLORE MD (MD)
(314) 740-2949
Entity
Organization
Contact information
Practice address
10004 KENNERLY RD STE 295B, SAINT LOUIS, MO 63128-2177
(314) 740-2949
(314) 375-5020
Mailing address
10000 KENNERLY RD, 295B, SAINT LOUIS, MO 63128
(314) 740-2949
(314) 375-5020
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
108767
MO
Other
Enumeration date
01/14/2016
Last updated
04/23/2025
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