Provider Demographics
NPI:1720979883
Name:MAHAJAN, SAMEERA ZUBIN (MBBS)
Entity type:Individual
Prefix:DR
First Name:SAMEERA
Middle Name:ZUBIN
Last Name:MAHAJAN
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:DR
Other - First Name:SAMEERA
Other - Middle Name:RAJENDRA
Other - Last Name:MEHTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS
Mailing Address - Street 1:1240 GREENFIELD PL APT 202
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:IL
Mailing Address - Zip Code:62269-8905
Mailing Address - Country:US
Mailing Address - Phone:872-229-7799
Mailing Address - Fax:
Practice Address - Street 1:BARNES-JEWISH HOSPITAL
Practice Address - Street 2:4590 NASH WAY
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:872-229-7799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025025690207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology