1720979883 NPI number — DR. SAMEERA ZUBIN MAHAJAN MBBS

Table of content: DR. SAMEERA ZUBIN MAHAJAN MBBS (NPI 1720979883)

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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