Individual provider · Type 1 NPI

Fatima Imran Shah, RD, LD

Registered Dietitian · Fenton, MO

NPI number 1104192004 Active

Practice location

1015 Bowles Ave
Fenton, MO 63026-2394

Call (636) 496-2543 Map

Mailing address

1331 Culpepper Ridge Dr
Ballwin, MO 63021-7526

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X2011027109 (MO)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1104192004

Fatima Imran Shah, RD, LD's National Provider Identifier is 1104192004, issued on Mar 26, 2012. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Fenton, MO. The record was last updated on Mar 26, 2012.