Individual
DR. SHAKILA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 CHILDRENS PL, DIV PED HOSPITALIST MED, SAINT LOUIS, MO 63110-1002
(314) 454-2076
(314) 747-8953
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-2076
(314) 747-8953
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2012026312
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2012026312
MO
208M00000X
Hospitalist Physician
Primary
2012026312
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204094809
—
MO
Enumeration date
06/29/2009
Last updated
04/17/2025
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