DR. SURENDRA SHENOY MD NPI 1972521490

NPI Information

NPI: 1972521490
Provider Name: DR. SURENDRA SHENOY, MD
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4921 PARKVIEW PL
DIV SURG TRANSPLANT, STE 12B
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 747-9889
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DR. Surendra Shenoy, MD is a transplant surgery in Saint Louis, MO with 40 years of experience. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee DR. Surendra Shenoy, MD NPI is 1972521490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4921 PARKVIEW PL
DIV SURG TRANSPLANT, STE 12B
SAINT LOUIS, MO
ZIP 63110-032
Phone: (314) 747-9889
Fax: (314) 361-4197

The NPI 1972521490 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 4/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	106430	MISSOURI	No
2	204F00000X	Transplant Surgery		106430	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	207975004	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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