Healthcare Provider Details

I. General information

NPI: 1366241044
Provider Name (Legal Business Name): NAZNIN NAHER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date: 10/20/2025
Reactivation Date: 07/27/2026

III. Provider practice location address

SAINT LOUIS UNIVERSITY HOSPITAL 1201 SOUTH GRAND BLVD.
SAINT LOUIS MO
63104-1004
US

IV. Provider business mailing address

SSM HEALTH SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE 1402 SOUTH GRAND BLVD., ROOM M260
ST LOUIS MO
63104-1004
US

V. Phone/Fax

Practice location:
  • Phone: 314-617-3137
  • Fax:
Mailing address:
  • Phone: 314-617-2360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number2025016796
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: