Provider Demographics
NPI:1194396895
Name:YAYAH, FAISAL MUDASIRU (MD)
Entity type:Individual
Prefix:
First Name:FAISAL
Middle Name:MUDASIRU
Last Name:YAYAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10010 KENNERLY ROAD
Mailing Address - Street 2:3 SOUTHBRIDGE
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128
Mailing Address - Country:US
Mailing Address - Phone:314-525-1906
Mailing Address - Fax:314-525-4148
Practice Address - Street 1:10010 KENNERLY RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-2106
Practice Address - Country:US
Practice Address - Phone:314-525-1906
Practice Address - Fax:314-525-4148
Is Sole Proprietor?:No
Enumeration Date:2021-07-05
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2024034693207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine