MEDICARE: SHIRIN PINTO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	R6D97	MO
2	207P00000X	Emergency Medicine Physician	F8285	TX
3	207P00000X	Emergency Medicine Physician	036-065075	IL

General Provider Information

NPI Number	:	1134102262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIRIN PINTO MD

Provider Business Mailing Address
First Line	:	1801 SPRINGDALE ACRES LN
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-3627
Country	:	US
Telephone Number	:	636-625-1560
Fax Number	:	636-625-1395

Provider Business Practice Location Address
First Line	:	7909 HIGHWAY N
Second Line	:
City	:	DARDENNE PRAIRIE
State	:	MO
Zip	:	63368
Country	:	US
Telephone Number	:	636-625-1560
Fax Number	:	636-625-1395

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	07/29/2008

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Directions to “ SHIRIN PINTO MD” Practice Location

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