Individual
DR. SHABBIR H SAFDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4921 PARKVIEW PL, SUITE 14C, SAINT LOUIS, MO 63110-1032
(314) 290-7555
(314) 290-7550
Mailing address
4921 PARKVIEW PL, SUITE 14C, SAINT LOUIS, MO 63110-1032
(314) 290-7555
(314) 290-7550
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
336010862
IL
207RH0003X
Hematology & Oncology Physician
Primary
R3981
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036043159
—
IL
01
—
105905
IL WORKER'S COMP
IL
01
—
123513
WORKMEN'S COMP
MO
05
—
201262128
—
MO
01
—
304010
MEDICARE IL
IL
Enumeration date
01/15/2006
Last updated
05/07/2008
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