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Individual

SUREKHA KESHAV JOSHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(636) 386-7222
(636) 200-4036
Mailing address
PO BOX 22407, SAINT LOUIS, MO 63126-0407
(636) 386-7222
(636) 200-4036

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MDR2E23
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202001921
MO
01
P00318596
RR MEDICARE
Enumeration date
05/24/2006
Last updated
02/22/2016
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