DR. SORAYA NOURI-MOGHADDAM MD NPI 1104842327

NPI Information

NPI: 1104842327
Provider Name: DR. SORAYA NOURI-MOGHADDAM, MD
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

Address:
1 CHILDRENS PL
SUITE 5S30
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 454-6095
Get Directions

DR. Soraya Nouri-moghaddam, MD is a pediatric cardiology pediatrics in Saint Louis, MO. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. DR. Soraya Nouri-moghaddam, MD NPI is 1104842327. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 CHILDRENS PL
SUITE 5S30
SAINT LOUIS, MO
ZIP 63110-002
Phone: (314) 454-6095
Fax: (314) 454-4801

The enumeration date for this NPI number is 7/14/2006 and was last updated on 7/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0202X	Pediatrics	Pediatric Cardiology	R8238	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P00012615	MEDICARE PIN
2	200889129	MEDICAID	MISSOURI
3	304010381	MEDICARE PIN
4	A27824	MEDICARE UPIN
5	9170765004	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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