Basic Information
Provider Information
NPI: 1932399086
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAJIB
FirstName: AALIYA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12101 WOODCREST EXECUTIVE DR STE 210
Address2:  
City: SAINT LOUIS
State: MO
PostalCode: 631415047
CountryCode: US
TelephoneNumber: 3143170600
FaxNumber: 3143170606
Practice Location
Address1: 6420 CLAYTON RD
Address2:  
City: SAINT LOUIS
State: MO
PostalCode: 631171811
CountryCode: US
TelephoneNumber: 3143170600
FaxNumber: 3143170606
Other Information
ProviderEnumerationDate: 07/25/2007
LastUpdateDate: 07/06/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/06/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X37220AZN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X036119588ILN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X036119588ILN Allopathic & Osteopathic PhysiciansHospitalist 
208M00000X2008005310MON Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X2008005310MOY Allopathic & Osteopathic PhysiciansInternal Medicine 

ID Information
IDTypeStateIssuerDescription
3722001AZARIZONA MEDICAL BOARDOTHER
03611958801ILIDFPROTHER


Home