BASIL ISAM SHAHIN

SAINT LOUIS, MO
NPI1851951982
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  25MA11819300)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MO  2022028832)
207R00000X Internal Medicine
(Licence: PA  MT219012)
Enumeration Date2019-06-20
Last Update Date2023-12-08
Business Address
BASIL ISAM SHAHIN MD
10010 KENNERLY RD
SAINT LOUIS, MO 63128-2106
Phone number: 314-525-1328
Mailing Address
BASIL ISAM SHAHIN MD
10010 KENNERLY RD
SAINT LOUIS, MO 63128-2106
Phone number: 314-525-1328