Provider Demographics
NPI:1659266369
Name:HATLEY, MARSHA AALIYAH (MD)
Entity type:Individual
Prefix:
First Name:MARSHA
Middle Name:AALIYAH
Last Name:HATLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARSHAY
Other - Middle Name:AALIYAH
Other - Last Name:HATLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2232 S GRAND BLVD APT 516
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63104-1673
Mailing Address - Country:US
Mailing Address - Phone:903-826-8030
Mailing Address - Fax:
Practice Address - Street 1:1 BARNES JEWISH HOSPITAL PLZ
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1003
Practice Address - Country:US
Practice Address - Phone:314-747-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025021652207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine