Individual provider · Type 1 NPI

Fnu Ehtisham-Ul Hag

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

NPI number 1407734544 Active

Practice location

6420 Clayton Rd St. Mary's Hospital-St. Louis, Dept Of Internal Medicine 2nd Floor
St. Louis, MO 63117

Call (314) 768-8778 Map

Fax (314) 768-7101

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X2025024125 (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 1407734544

Fnu Ehtisham-Ul Hag's National Provider Identifier is 1407734544, issued on Aug 26, 2025. 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 Apr 2, 2026.