Individual
PETER FAHMI SHAWKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8222
(314) 577-8019
Mailing address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8222
(314) 577-8019
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007018722
MO
207R00000X
Internal Medicine Physician
Primary
69598
TN
208M00000X
Hospitalist Physician
2007018722
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207421306
—
MO
Enumeration date
04/24/2007
Last updated
11/19/2024
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