Individual
BHARAT J SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11125 DUNN RD, SUITE 204, SAINT LOUIS, MO 63136-6132
(314) 839-5522
(314) 839-5351
Mailing address
11125 DUNN RD, SUITE 204, SAINT LOUIS, MO 63136-6132
(314) 839-5522
(314) 839-5351
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036064312
IL
207RC0000X
Cardiovascular Disease Physician
Primary
R3A49
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000013077
ESSENCE
—
01
—
060015451
MORRMCR
MO
01
—
060067911
ILRRMCR
IL
01
—
10095V8816
HCUSA
—
01
—
103383
HLNK
—
01
—
1475257
CIGNA
—
01
—
1993V3831
GHP/CMR
—
05
—
201865219
—
MO
01
—
2509028
UHC
—
01
—
27888
MOBS/BLCHOICE
MO
01
—
4040666
AETNA
—
01
—
42760V30946
HLTHPART
—
01
—
A29082
MERCY
—
Enumeration date
08/25/2005
Last updated
02/25/2016
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