Most Relevant Information
Provider Data
| NPI Number: | 1003555780 |
| Provider Name: | NABIAHA NOOR SHAMSHUDDIN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/01/2022 |
| Last Updated: | 06/01/2022 |
Provider Practice Location
1201 S GRAND BLVD
SAINT LOUIS
MO
631041016
Practice Location Phone/Fax
| Phone: | 3142578000 |
| Fax: | 3149771664 |
Provider Mailing Location
1008 S SPRING AVE
SAINT LOUIS
MO
631102520
Provider Mailing Phone/Fax
| Phone: | 3149772605 |
| Fax: | 3149771664 |