MEDICARE: DAVID L SHAW M.D.

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	207R00000X	Internal Medicine Physician	108388	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7486026	OTHER	MO	AETNA
2	138767	OTHER	MO	GHP
3	000000010051	OTHER	MO	ESSENCE
4	116062	OTHER	MO	BCBS
5	407737	OTHER	MO	HEALTLINK
6	G73848	OTHER	MO	MERCY
7	0406305	OTHER	MO	UHC
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669454500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID L SHAW M.D.

Provider Business Mailing Address
First Line	:	PO BOX 23340
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63156-3340
Country	:	US
Telephone Number	:	314-355-1660
Fax Number	:	314-355-2807

Provider Business Practice Location Address
First Line	:	11155 DUNN RD
Second Line	:	SUITE 205E
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-6150
Country	:	US
Telephone Number	:	314-355-1660
Fax Number	:	314-355-2807

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

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	09/28/2012

Similar Medicare Providers

1992728000 — DR. USMAN QAYYUM M.D.
Practice Location Address:

11155 DUNN RD , SUITE 304E
SAINT LOUIS, MO
63136-6150

Practice Phone: 314-741-0911
Practice Fax: 314-741-0501

1871585356 — SALVADOR LOBIANCO M.D.
Practice Location Address:

11155 DUNN RD , STE: 315E
SAINT LOUIS, MO
63136-6150

Practice Phone: 314-355-7500
Practice Fax: 314-355-3287

1871586156 — PRAVEENA UPPAL M.D.
Practice Location Address:

11155 DUNN RD , STE 315E
SAINT LOUIS, MO
63136-6150

Practice Phone: 314-355-7500
Practice Fax: 314-355-3287

1891779062 — MR. SANJAYA N SAHETA MD
Practice Location Address:

11155 DUNN RD , SUITE 304E
SAINT LOUIS, MO
63136-6150

Practice Phone: 314-741-0911
Practice Fax: 314-653-3671

1114903507 — DR. GEORGE M KICHURA M.D.
Practice Location Address:

11155 DUNN RD , SUITE 304E
SAINT LOUIS, MO
63136-6150

Practice Phone: 314-741-0911
Practice Fax: 314-653-3671

1417934894 — DR. CARLOS M YU II M.D.
Practice Location Address:

11155 DUNN RD , SUITE 109N
SAINT LOUIS, MO
63136-6150

Practice Phone: 314-953-8799
Practice Fax: 314-953-8798

Directions to “ DAVID L SHAW M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.