Healthcare Provider Details

I. General information

NPI: 1477480507
Provider Name (Legal Business Name): ALARA HEALTHCARE MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 CEDAR PLAZA PKWY STE 320
SAINT LOUIS MO
63128-3841
US

IV. Provider business mailing address

5000 CEDAR PLAZA PKWY STE 320
SAINT LOUIS MO
63128-3841
US

V. Phone/Fax

Practice location:
  • Phone: 314-200-1366
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: EHTISHAM HAQ
Title or Position: CO FOUNDER
Credential:
Phone: 314-200-1366