Malik Sheheryar, M.D

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

NPI 1629908694 · NPPES record last updated Jul 31, 2026

Key facts

NPI
1629908694
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
3005 N Ballas Rd Suite 400
St.Louis, MO 63131
Phone
(314) 996-7520
NPI assigned
May 21, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

3005 N Ballas Rd Suite 400
St.Louis, MO 63131

Mailing address

3005 N Ballas Rd Suite 400
St.Louis, MO 63131
Phone (314) 996-7520

Other providers in St.Louis, MO

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

Sources for this page

Verify at the official NPI Registry.