Healthcare Provider Details

I. General information

NPI: 1790304657
Provider Name (Legal Business Name): MEHR AMER MAJEED M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2020
Last Update Date: 07/07/2023
Certification Date: 07/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 S GRAND BLVD
SAINT LOUIS MO
63104-1016
US

IV. Provider business mailing address

ADVOCATE INTERNAL MEDICINE CLINIC, ADVOCATE ILLINOIS MA 836 WEST WELLINGTON AVENUE
CHICAGO IL
60657
US

V. Phone/Fax

Practice location:
  • Phone: 314-257-8000
  • Fax:
Mailing address:
  • Phone: 773-296-5424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2023026684
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: