Individual
DR. SURESH CHODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
12277 DE PAUL DR STE 403, BRIDGETON, MO 63044-2536
(314) 738-2715
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009011796
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2012024841
MO
Other
Enumeration date
07/06/2009
Last updated
11/19/2020
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