Individual
QURATULANNE SHEHERYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
1438 S GRAND BLVD, SAINT LOUIS, MO 63104-1027
(314) 977-4828
(314) 977-4876
Mailing address
1438 S GRAND BLVD, SAINT LOUIS, MO 63104-1027
(314) 977-4828
(314) 977-4828
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2023018879
MO
2084P0805X
Geriatric Psychiatry Physician
2023018879
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
10/05/2023
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