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Contact Information

INFECTIOUS DISEASE, PC
10004 KENNERLY RD
SUITE 368B
SAINT LOUIS, MO63128-2141
 Phone: 314-729-1570
 Fax: 314-729-1575
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Acute Care

364SA2100X 89 Certified Clinical Nurse Specialist
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for INFECTIOUS DISEASE, PC

NPI # 1609065051
LBN Legal business name INFECTIOUS DISEASE, PC
Authorized official SURESH NELLORE - (AUTHORIZE OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2007
Last updated 02/18/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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