Individual provider · Type 1 NPI

Shannon Grace Farmakis, MD

Diagnostic Radiology Physician · St. Louis, MO

NPI number 1720280175 Active · reactivated Feb 28, 2008

Practice location

615 S New Ballas Rd
St. Louis, MO 63141-8221

Call (314) 251-6031 Map

Fax (314) 251-6343

Mailing address

11475 Olde Cabin Rd Ste 200
St. Louis, MO 63141-7129

Specialties and licenses

TaxonomyCodeLicense
Pediatric Radiology Physician 2085P0229XM-14782 (ID)
Pediatric Radiology Physician 2085P0229XMD60962082 (WA)
Diagnostic Radiology Physician 2085R0202X0444325 (KS)
Diagnostic Radiology Physician 2085R0202XM-14782 (ID)
Diagnostic Radiology Physician Primary 2085R0202X200813456 (MO)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1720280175

Shannon Grace Farmakis, MD's National Provider Identifier is 1720280175, issued on Jun 5, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Louis, MO. The record was last updated on Nov 17, 2022.