Individual
SUMBUL MERAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1000
(636) 333-4509
Mailing address
775 SUNSET BLVD STE B, O FALLON, IL 62269-1960
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036130554
IL
207RI0200X
Infectious Disease Physician
4301505690
MI
Other
Enumeration date
02/28/2011
Last updated
05/09/2023
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