Healthcare Provider Details

I. General information

NPI: 1346266566
Provider Name (Legal Business Name): FEI F SHIH MD PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 07/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHILDRENS PL SUITE 11W32
SAINT LOUIS MO
63110-1002
US

IV. Provider business mailing address

1 CHILDRENS PL C B 8116
SAINT LOUIS MO
63110-1002
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-1250
  • Fax: 314-286-2895
Mailing address:
  • Phone: 314-362-1250
  • Fax: 314-286-2895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License Number2000145651
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: