SURESH MATHEW MD LLC NPI 1821746348

NPI Information

  • NPI: 1821746348
  • Provider Name: SURESH MATHEW MD LLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 11133 DUNN RD STE 212E
    SAINT LOUIS, MO
    ZIP 63136
  • Phone: (314) 395-1092

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NPI Details

SURESH MATHEW MD LLC is a nephrology internal medicine in Saint Louis, MO. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. SURESH MATHEW MD LLC NPI is 1821746348. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11133 DUNN RD STE 212E
SAINT LOUIS, MO
ZIP 63136-163
Phone: (314) 395-1092

The provider's authorized official is Suresh Mathew .
The authorized official title is President and has the following contact phone number (314) 435-8021.

The enumeration date for this NPI number is 3/14/2022 and was last updated on 3/14/2022.

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
1207RN0300XInternal MedicineNephrologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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