Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stella Maris Internal Medicine LLC

Organization Internal Medicine Physician · NPI 1710925383

Stella Maris Internal Medicine LLC is an Internal Medicine Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12855 N 40 Dr Ste 350
Saint Louis, MO 63141-8635
Phone: (314) 205-1926
Fax: (314) 205-1076
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 103060 (MO)

Record details

NPI number1710925383
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hani Soudah — Doctor · (314) 205-1926
NPI enumeratedJune 3, 2006
Last updated in NPPESMarch 17, 2014
Mailing address12855 N 40 Dr, Suite 350, Saint Louis, MO 63141-8635

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