Individual
ANJUM SHARIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11133 DUNN RD, ST LOUIS, MO 63136
(314) 653-4300
(314) 821-2180
Mailing address
5800 FOXRIDGE DR, STE 240, MISSION, KS 66202-2338
(913) 261-3153
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036105031
IL
2085R0202X
Diagnostic Radiology Physician
Primary
2001008548
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1390
MO BLUE
—
01
—
1601682
PH PLAN
—
05
—
205298409
—
MO
01
—
2781
GHP
—
01
—
300121429
RR MEDICARE
—
01
—
431725842MID
MERCY
—
01
—
46069
HCARE USA
—
01
—
P00053279
RR MEDICARE
—
Enumeration date
07/28/2006
Last updated
07/13/2018
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