Healthcare Provider Details

I. General information

NPI: 1699601112
Provider Name (Legal Business Name): SUBURBAN CHEST AND SLEEP CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3009 N BALLAS RD STE 315A
SAINT LOUIS MO
63131-2324
US

IV. Provider business mailing address

3009 N BALLAS RD STE 315A
SAINT LOUIS MO
63131-2324
US

V. Phone/Fax

Practice location:
  • Phone: 314-843-3110
  • Fax:
Mailing address:
  • Phone: 314-843-3110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. SHIRAZ A DAUD
Title or Position: PRESIDENT
Credential: MD
Phone: 314-221-8105