Individual
AYESHA SOOMRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10004 KENNERLY RD STE 295B, SAINT LOUIS, MO 63128-2177
(314) 740-2949
(314) 375-5020
Mailing address
10004 KENNERLY RD STE 295B, SAINT LOUIS, MO 63128-2177
(314) 740-2949
(314) 375-5020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019024581
MO
207RI0200X
Infectious Disease Physician
Primary
2019024581
MO
Other
Enumeration date
06/30/2016
Last updated
02/28/2025
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