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Individual

SHABNAM NADIA SHEIKH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-8000
(314) 768-8011
Mailing address
1069 DOUGHERTY LAKE ESTATES DR, SAINT LOUIS, MO 63122-4931
(636) 226-4200

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2004011410
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1902853732
MO
05
200839702
MO
01
219060
BLUE SHIELD
MO
Enumeration date
05/27/2006
Last updated
05/06/2009
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