Individual
DR. SHARIQ SHAMIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3550 MCKELVEY RD, BRIDGETON, MO 63044-2527
(314) 741-0911
Mailing address
3550 MCKELVEY RD, BRIDGETON, MO 63044-2527
(314) 741-0911
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036154289
IL
207RC0000X
Cardiovascular Disease Physician
2017000105
MO
207RC0000X
Cardiovascular Disease Physician
MD2018-0100
NM
207RI0011X
Interventional Cardiology Physician
036154289
IL
207RI0011X
Interventional Cardiology Physician
Primary
2017000105
MO
207RI0011X
Interventional Cardiology Physician
MD2018-0100
NM
Other
Enumeration date
08/19/2010
Last updated
12/06/2021
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