Individual
SHAFA N MUKHTAR ELOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1390 US HIGHWAY 61 STE 2200N, FESTUS, MO 63028-4121
(314) 467-3800
(636) 933-8750
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(314) 467-3800
(636) 933-8750
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2024025339
MO
Other
Enumeration date
07/01/2019
Last updated
07/11/2024
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