OrganizationActive
Infectious Disease
NPI 1225494628 · Infectious Disease Physician · Saint Louis, MO
Provider details
- NPI number
- 1225494628
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Suresh Nellore, MD(314) 740-2949
- License
- 108767 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10004 Kennerly Rd Ste 295b
Saint Louis, MO 63128-2177
Phone: (314) 740-2949
Fax: (314) 375-5020
Approximate (ZIP-level) locationGet directions
Mailing address
10000 Kennerly Rd
Saint Louis, MO 63128
Registry dates
- Enumerated
- 2016-01-14
- Last updated
- 2025-04-23
- Certified
- 2025-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.