Healthcare Provider Details

I. General information

NPI: 1376313437
Provider Name (Legal Business Name): DR ROOMANA S ARAIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11475 OLDE CABIN RD STE 150
SAINT LOUIS MO
63141-7481
US

IV. Provider business mailing address

PO BOX 6287
CHESTERFIELD MO
63006-6287
US

V. Phone/Fax

Practice location:
  • Phone: 314-789-1155
  • Fax: 314-942-6800
Mailing address:
  • Phone: 314-789-1155
  • Fax: 314-942-6800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROOMANA S ARAIN
Title or Position: OWNER
Credential: MD
Phone: 314-789-1155