Individual
SURESH K NARAYANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11125 DUNN RD, STE 204, SAINT LOUIS, MO 63136-6132
(314) 839-5522
(314) 839-5351
Mailing address
11125 DUNN RD, STE 204, SAINT LOUIS, MO 63136-6132
(314) 839-5522
(314) 839-5351
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036105940
IL
207RC0000X
Cardiovascular Disease Physician
Primary
115543
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060065774
MORRMCR
MO
01
—
060067891
ILRRMCR
IL
01
—
102409V3831
GHP
—
01
—
150973
MOBS
MO
05
—
205721301
—
MO
01
—
24852V8816
HCUSA
—
01
—
2501038
UHC
—
01
—
27050
BLCHOICE
—
01
—
467659
HLNK
—
01
—
6415380002
CIGNA
—
01
—
7674277
AETNA
—
01
—
G43207
MERCY
—
01
—
V30946
HLTHPART
—
Enumeration date
08/30/2005
Last updated
12/09/2021
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