1720979883 NPI number — DR. SAMEERA ZUBIN MAHAJAN MBBS

Table of content: SHASHANA SHERIE HILL (NPI 1497020317)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720979883 NPI number — DR. SAMEERA ZUBIN MAHAJAN MBBS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MAHAJAN
Provider First Name:
SAMEERA
Provider Middle Name:
ZUBIN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MBBS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MEHTA
Provider Other First Name:
SAMEERA
Provider Other Middle Name:
RAJENDRA
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MBBS
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1720979883
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/15/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1240 GREENFIELD PL APT 202
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
O FALLON
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
62269-8905
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
872-229-7799
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
BARNES-JEWISH HOSPITAL
Provider Second Line Business Practice Location Address:
4590 NASH WAY
Provider Business Practice Location Address City Name:
ST. LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
872-229-7799
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/15/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0102X , with the licence number:  2025025690 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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