Provider Demographics
NPI:1376313437
Name:DR ROOMANA S ARAIN LLC
Entity Type:Organization
Organization Name:DR ROOMANA S ARAIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROOMANA
Authorized Official - Middle Name:S
Authorized Official - Last Name:ARAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:636-386-4792
Mailing Address - Street 1:1 MID RIVERS MALL DR STE 360
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-4486
Mailing Address - Country:US
Mailing Address - Phone:636-386-4792
Mailing Address - Fax:314-782-5452
Practice Address - Street 1:1 MID RIVERS MALL DR STE 360
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-4486
Practice Address - Country:US
Practice Address - Phone:636-386-4792
Practice Address - Fax:314-782-5452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty