Fnu Ehtisham-Ul Hag

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

2025024125 Issued in MO

Practice address

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

Phone

(314) 768-8778

Fax

(314) 768-7101

NPI assigned

Aug 26, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1407734544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 CLAYTON RD ST. MARY'S HOSPITAL-ST. LOUIS",
            "address_2": "DEPT OF INTERNAL MEDICINE 2ND FLOOR",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63117",
            "telephone_number": "314-768-8778",
            "fax_number": "314-768-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 CLAYTON RD ST. MARY'S HOSPITAL-ST. LOUIS",
            "address_2": "DEPT OF INTERNAL MEDICINE 2ND FLOOR",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63117",
            "telephone_number": "314-768-8778",
            "fax_number": "314-768-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHTISHAM-UL HAG",
        "first_name": "FNU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-26",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": "2025024125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Ehrhardt, PHARM.D.
• Sean Ehrhardt, DMD
• Jennifer Ann Ehrhart, PHARM. D, RPH
• Larry Ray Ehrnreich, PTA
• Ali A Ehsani, MD
• Lindsay Eichaker
• Bradley Eichar
• Tetiana Eichelberger
• Kurt M Eichholz, MD
• Stacey Eichholz

• Student in an Organized Health Care Education/Training Program in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Student in an Organized Health Care Education/Training Program in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.