Individual
SHAMIM AMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 STE GENEVIEVE DR, STE GENEVIEVE, MO 63670-1434
(805) 907-2072
Mailing address
800 STE GENEVIEVE DR, SAINTE GENEVIEVE, MO 63670-1434
(805) 907-2072
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2010002667
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A962500
—
CA
05
—
1265486617
—
MO
Enumeration date
05/20/2006
Last updated
05/05/2021
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