Dr. Soraya Nouri-Moghaddam, MD
Pediatrics, Pediatric Cardiology in Saint Louis, MO. Individual provider (NPI-1).
NPI number1104842327
StatusActive
Last updated in NPPESJul 16, 2009
Details
- NPI
- 1104842327
- Entity type
- Individual (NPI-1)
- Name
- Dr. Soraya Nouri-Moghaddam
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2006
- Last updated
- Jul 16, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0202X | Pediatrics, Pediatric Cardiology | R8238 | MO | Yes |
Practice location
1 Childrens PlSuite 5s30
Saint Louis, MO 63110-1002
Phone 314-454-6095 · Fax 314-454-4801
Mailing address
1 Childrens PlC B 8116
Saint Louis, MO 63110-1002
Phone 314-454-6095 · Fax 314-454-4801
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