Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Louis Surgical Doctors Group LLC

Organization Specialist · NPI 1417126210

St Louis Surgical Doctors Group LLC provides Specialist services in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3535 S Jefferson Ave Ste 201
Saint Louis, MO 63118-3930 Not confirmed with CMS for 18 years — call before visiting
Phone: (314) 577-5778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2004034166 (MO)

Record details

NPI number1417126210
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anil Srivastava — Physician · (314) 577-5778
NPI enumeratedFebruary 26, 2008
Last updated in NPPESFebruary 26, 2008
Mailing address548 Claymont Place Dr, Ballwin, MO 63011-2553

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