MEDICARE: DR. EMILY HAZEL MUKHERJI MD

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
1	2084P0800X	Psychiatry Physician	2017029100	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689995847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY HAZEL MUKHERJI MD

Provider Business Mailing Address
First Line	:	118 LAKE FOREST DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63117-1303
Country	:	US
Telephone Number	:	858-442-8637
Fax Number	:

Provider Business Practice Location Address
First Line	:	231 S BEMISTON AVE STE 800
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63105-1925
Country	:	US
Telephone Number	:	858-442-8637
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2010
Last Update Date	:	01/20/2026

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