Provider Demographics
NPI:1245856046
Name:SHAHI, JEEVIN (MD)
Entity type:Individual
Prefix:DR
First Name:JEEVIN
Middle Name:
Last Name:SHAHI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3685 VISTA AVENUE
Mailing Address - Street 2:CENTER FOR RADIATION MEDICINE
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110
Mailing Address - Country:US
Mailing Address - Phone:314-257-7000
Mailing Address - Fax:314-268-5106
Practice Address - Street 1:3685 VISTA AVENUE
Practice Address - Street 2:CENTER FOR RADIATION MEDICINE
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-257-7000
Practice Address - Fax:314-268-5106
Is Sole Proprietor?:No
Enumeration Date:2020-06-18
Last Update Date:2024-01-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO20200152842085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology