Most Relevant Information
Provider Data
| NPI Number: | 1003017369 |
| Provider Name: | SHAHEEN MANSOOR M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 2005018491 |
Most Important Dates
| Enumeration Date: | 05/31/2007 |
| Last Updated: | 08/21/2024 |
Provider Practice Location
10012 MANCHESTER RD
SAINT LOUIS
MO
631221826
Practice Location Phone/Fax
| Phone: | 3144629107 |
| Fax: |
Provider Mailing Location
10012 MANCHESTER RD
SAINT LOUIS
MO
631221826
Provider Mailing Phone/Fax
| Phone: | 3144629107 |
| Fax: |