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NPI Code Detail

MEDICARE: DR. RISHAD SHAIKH DMD

MEDICARE:  DR. RISHAD  SHAIKH  DMD
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
11223P0106XOral and Maxillofacial Pathology Dentistry30-021959OH
21223S0112XOral and Maxillofacial Surgery (Dentist)2011010943MO

General Provider Information

NPI Number : 1275731895
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RISHAD SHAIKH DMD
Provider Business Mailing Address
First Line : 621 S NEW BALLAS RD STE 16A
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63141-8239
Country : US
Telephone Number : 314-251-6725
Fax Number :
Provider Business Practice Location Address
First Line : 2747 W CLAY ST STE B
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-2557
Country : US
Telephone Number : 636-594-6725
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2007
Last Update Date : 03/22/2024

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Directions to “ DR. RISHAD SHAIKH DMD” Practice Location

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