Provider Demographics
NPI:1467017418
Name:FAIZ, SAMEERA (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMEERA
Middle Name:
Last Name:FAIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WUSM PEDS, 1 CHILDRENS PL, MSC 8116-0043-09
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1002
Mailing Address - Country:US
Mailing Address - Phone:314-454-6018
Mailing Address - Fax:844-621-4392
Practice Address - Street 1:WUSM PEDS, 1 CHILDRENS PL, MSC 8116-0043-09
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-454-6018
Practice Address - Fax:844-621-4392
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2023010121208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics