Individual
PERINI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12700 SOUTHFORK RD STE 215, SAINT LOUIS, MO 63128-3276
(314) 543-5244
(314) 543-5248
Mailing address
12700 SOUTHFORK RD STE 215, SAINT LOUIS, MO 63128-3276
(314) 543-5244
(314) 543-5248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2014016673
MO
207Q00000X
Family Medicine Physician
Primary
2017023058
MO
Other
Enumeration date
06/10/2014
Last updated
07/21/2022
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