Individual
SHEPHERD M ABRAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-4492
(314) 525-4481
Mailing address
PO BOX 954129, SAINT LOUIS, MO 63195-4129
(314) 821-8055
(314) 821-1833
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
107890
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112315
HEALTHLINK
—
01
—
1601250
UHC
—
01
—
1765
BCBS
MO
01
—
4964V4964
GHP
—
Enumeration date
12/05/2005
Last updated
12/07/2007
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