Individual
DR. ATIF FAZAL RAHMAN SHAHNAWAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5772
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-0001
(314) 996-5772
(314) 996-7691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125054687
IL
207R00000X
Internal Medicine Physician
P6266
TX
208M00000X
Hospitalist Physician
1902056971
MO
208M00000X
Hospitalist Physician
DR.0054493
CO
208M00000X
Hospitalist Physician
Primary
P6266
TX
Other
Enumeration date
09/25/2008
Last updated
09/18/2025
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