Healthcare Provider Details

I. General information

NPI: 1942139316
Provider Name (Legal Business Name): ANJALI GEETHA SATISH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 CLAYTON RD. DEPT. OF INTERNAL MEDICINE 2ND FLOOR
ST LOUIS MO
63117
US

IV. Provider business mailing address

6420 CLAYTON RD. DEPT. OF INTERNAL MEDICINE 2ND FLOOR
ST LOUIS MO
63117
US

V. Phone/Fax

Practice location:
  • Phone: 314-768-8778
  • Fax: 314-768-7101
Mailing address:
  • Phone: 314-768-8778
  • Fax: 314-768-7101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number2026019928
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: