Individual
DR. SIDRA DANISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1328
(314) 525-1378
Mailing address
10010 KENNERLY RD STE 4034, SAINT LOUIS, MO 63128-2106
(314) 525-1328
(314) 525-1378
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2025026551
MO
Other
Enumeration date
04/27/2022
Last updated
09/04/2025
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