Individual
SUSEELA SAMUDRALA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11125 DUNN RD, SUITE 311, SAINT LOUIS, MO 63136-6132
(314) 355-7880
(314) 355-8899
Mailing address
11125 DUNN RD, SAINT LOUIS, MO 63136-6132
(314) 355-7880
(314) 355-8899
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
R8290
MO
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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