Healthcare Provider Details

I. General information

NPI: 1255467817
Provider Name (Legal Business Name): AJIT TRIKHA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

931 LAFITE CT
TOWN AND COUNTRY MO
63017-8311
US

IV. Provider business mailing address

931 LAFITE CT
TOWN AND COUNTRY MO
63017-8311
US

V. Phone/Fax

Practice location:
  • Phone: 636-256-0627
  • Fax: 636-386-2448
Mailing address:
  • Phone: 636-256-0627
  • Fax: 636-386-2448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberR8J25
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: