Fatima Imran Shah, RD,LD

NPI #1104192004 in Fenton, Missouri

Provider Information

NPI Number: 1104192004
Entity Type: Individual
Name: Fatima Imran Shah, RD,LD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD,LD
Enumeration Date: Mar 26, 2012
Last Updated: Mar 26, 2012

Practice Location

Address: 1015 BOWLES AVE
City: Fenton
State: Missouri
ZIP Code: 63026-2394
Phone: (636) 496-2543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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