Healthcare Provider Details

I. General information

NPI: 1801414289
Provider Name (Legal Business Name): SHAH TAHA SARMAST MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2020
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 CEDAR PLAZA PKWY STE 300
SAINT LOUIS MO
63128-3891
US

IV. Provider business mailing address

5000 CEDAR PLAZA PKWY STE 300
SAINT LOUIS MO
63128-3891
US

V. Phone/Fax

Practice location:
  • Phone: 636-282-0380
  • Fax: 877-592-0806
Mailing address:
  • Phone: 636-282-0380
  • Fax: 877-592-0806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2025042061
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: