Individual provider · Type 1 NPI

Ehsan Fayazzadeh, MD

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1033798236 Active

Practice location

1 Barnes Jewish Hospital Plz
St. Louis, MO 63110-1003

Mailing address

510 S Kingshighway Blvd, Campus Box 8131-19-01
St. Louis, MO 63110-1076

Other practice locations

  • 1 Childrens Pl, St. Louis, MO 63110-1081 · (855) 723-3723

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X2026028666 (MO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033798236

Ehsan Fayazzadeh, MD's National Provider Identifier is 1033798236, issued on Apr 5, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 3, 2026.