Individual provider · Type 1 NPI

Shammah Kodjo-Soroh, MD

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

NPI number 1164370458 Active

Practice location

1465 S Grand Blvd
St. Louis, MO 63104-1003

Call (314) 577-5600 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1164370458

Shammah Kodjo-Soroh, MD's National Provider Identifier is 1164370458, issued on Mar 20, 2026. 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 Mar 20, 2026.