Healthcare Provider Details

I. General information

NPI: 1265383863
Provider Name (Legal Business Name): SONAL MEHRA MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SLU CARE PHYSICIAN GROUP 1402 SOUTH GRAND BLVD
SAINT LOUIS MO
63104
US

IV. Provider business mailing address

620-701 STERLING LYON PARKWAY
WINNIPEG MANITOBA
R3P2V1
CA

V. Phone/Fax

Practice location:
  • Phone: 314-617-3557
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2026008538
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number2026008538
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: