Individual
TARISAI SHARON NYAHODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
222 S WOODS MILL RD, CHESTERFIELD, MO 63017-3625
(314) 205-6050
(314) 434-5939
Mailing address
222 S WOODS MILL RD, CHESTERFIELD, MO 63017-3625
(314) 205-6050
(314) 434-5939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019018194
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
2023033166
MO
Other
Enumeration date
06/14/2019
Last updated
09/19/2023
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