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NPI Code Detail

MEDICARE: ISRAT JAHAN

MEDICARE:   ISRAT  JAHAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program2026018471MO

General Provider Information

NPI Number : 1144158593
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISRAT JAHAN
Provider Business Mailing Address
First Line : 224 S WOODS MILL RD STE 400
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-3513
Country : US
Telephone Number : 314-205-6050
Fax Number : 314-205-6350
Provider Business Practice Location Address
First Line : 224 S WOODS MILL RD STE 400
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-3513
Country : US
Telephone Number : 314-205-6050
Fax Number : 314-205-6350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2026
Last Update Date : 05/13/2026

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Directions to “ ISRAT JAHAN ” Practice Location

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