NPI 1003231002

Mysorekar Surgical

Organisation Surgery Physician Saint Louis, MO

Practice location

Address: 8342 Delcrest Dr APT 303, Saint Louis, MO 63124-2100
Phone: (314) 359-5648

Authorised official

Name: Rajeev Nagaraj Mysorekar
Title: Manager
Phone: (314) 359-5648

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 108329 (MO)

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Registry record

NPI: 1003231002
Entity type: Organization
NPI issued: 27 Feb 2014
Record last updated: 22 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.