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Individual

NEERA SHARDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12700 SOUTHFORK RD, STE 200/220, SAINT LOUIS, MO 63128-3201
(314) 543-5942
(314) 543-5947
Mailing address
12700 SOUTHFORK RD, STE 200/220, SAINT LOUIS, MO 63128-3201
(314) 543-5942
(314) 543-5947

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
106436
MO
208M00000X
Hospitalist Physician
106436
MO
305R00000X
Preferred Provider Organization
106436
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
156440103
MEDICARE PTAN
MO
05
204770127
MO
Enumeration date
08/19/2006
Last updated
03/14/2017
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