Mysorekar Surgical

NPI #1003231002 in Saint Louis, Missouri

Provider Information

NPI Number: 1003231002
Entity Type: Organization
Organization Name: Mysorekar Surgical
Primary Specialty: Surgery
Enumeration Date: Feb 27, 2014
Last Updated: Apr 22, 2014

Practice Location

Address: 8342 DELCREST DR
Address 2: APT 303
City: Saint Louis
State: Missouri
ZIP Code: 63124-2100
Phone: (314) 359-5648

Authorized Official

Name: DR. RAJEEV NAGARAJ MYSOREKAR, M.D.
Title: MANAGER
Phone: (314) 359-5648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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