IndividualActive
Ahmer Razzaque, DO
NPI 1366018137 · Internal Medicine Physician · Saint Louis, MO
Provider details
- NPI number
- 1366018137
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 2024031166 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (314) 251-6339
Approximate (ZIP-level) locationGet directions
Mailing address
621 S New Ballas Rd Ste 112a
Saint Louis, MO 63141-8252
Additional practice locations (3)
- 1400 US Highway 61Festus, MO 63028-4100Phone: (636) 933-5337
- 10010 Kennerly RdSaint Louis, MO 63128-2106Phone: (314) 525-1328
- 901 E 5th StWashington, MO 63090-3127Phone: (636) 239-8231
Registry dates
- Enumerated
- 2021-06-02
- Last updated
- 2024-09-16
- Certified
- 2024-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.