Healthcare Provider Details

I. General information

NPI: 1689873267
Provider Name (Legal Business Name): ROMINA SOHAIL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15740 S OUTER 40 RD
CHESTERFIELD MO
63017-2004
US

IV. Provider business mailing address

12101 WOODCREST EXECUTIVE DR STE 210
SAINT LOUIS MO
63141-5047
US

V. Phone/Fax

Practice location:
  • Phone: 636-735-4750
  • Fax:
Mailing address:
  • Phone: 314-317-0600
  • Fax: 314-317-0606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2007018114
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2007018114
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: