Healthcare Provider Details

I. General information

NPI: 1750305546
Provider Name (Legal Business Name): SAMEER YAMEEN ARAIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 06/21/2022
Certification Date: 06/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 CEDAR PLAZA PKWY SUITE 350
SAINT LOUIS MO
63128-3854
US

IV. Provider business mailing address

5000 CEDAR PLAZA PKWY SUITE 350
SAINT LOUIS MO
63128-3854
US

V. Phone/Fax

Practice location:
  • Phone: 314-843-4333
  • Fax:
Mailing address:
  • Phone: 314-843-4333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number2006014089
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2006014089
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: