OrganizationActive
Infectious Disease Physicians LLC
NPI 1164720041 · Infectious Disease Physician · Saint Louis, MO
Provider details
- NPI number
- 1164720041
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rajeev Dewan, President(636) 333-4500
- License
- 2004025502 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone: (636) 333-4500
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1413
O Fallon, IL 62269-8413
Registry dates
- Enumerated
- 2011-03-02
- Last updated
- 2012-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.