Healthcare Provider Details

I. General information

NPI: 1669040853
Provider Name (Legal Business Name): TRISHA BHAT SCHARFF MD, MPHS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TRISHA SANJAY BHAT

II. Dates (important events)

Enumeration Date: 06/14/2021
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1058 OLD DES PERES RD
SAINT LOUIS MO
63131-1865
US

IV. Provider business mailing address

1058 OLD DES PERES RD
SAINT LOUIS MO
63131-1865
US

V. Phone/Fax

Practice location:
  • Phone: 314-266-0412
  • Fax:
Mailing address:
  • Phone: 314-266-0412
  • Fax: 314-798-1579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number2021021934
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: