Suri, Jagdish

Suri, Jagdish is an individual health care provider with primary practice located at 763 S New Ballas Rd Suite 110, Saint Louis MO 63141-8704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Suri, Jagdish can be contacted via phone (314) 569-1717.

Contact Information

Primary practice address
763 S New Ballas Rd Suite 110 Saint Louis MO 63141-8704
Phone: (314) 569-1717
Fax: (314) 569-0441
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X R8008 Missouri

Profile Details

NPI number 1144228958
LBN Legal business name Suri, Jagdish
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Oct 3rd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144228958 NPPES
Missouri MEDICAID 201419272

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