| Shafa N Mukhtar Eloud, MD | |
|
1390 Us Highway 61 Ste 2200n, Festus, MO 63028-4121 | |
| (314) 467-3800 | |
| (636) 933-8750 |
| Full Name | Shafa N Mukhtar Eloud |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1390 Us Highway 61 Ste 2200n, Festus, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558923565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2024025339 (Missouri) | Primary |
| Entity Name | Mercy Clinic East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
| Mailing Address | Practice Location Address |
|---|---|
| Shafa N Mukhtar Eloud, MD Po Box 776084, Chicago, IL 60677-6084 Ph: (314) 467-3800 | Shafa N Mukhtar Eloud, MD 1390 Us Highway 61 Ste 2200n, Festus, MO 63028-4121 Ph: (314) 467-3800 |
Joshua Paul Boldt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 35 Goodwin Dr, Festus, MO 63028 Phone: 636-933-4141 Fax: 636-931-7007 | |
Venkata Nagireddi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1463 Us Highway 61, Suite C, Festus, MO 63028 Phone: 636-937-2755 Fax: 636-933-2910 | |
Muhanad Ahmed Omran Bensaleem, MD, Pediatrics Medicare: Medicare Enrolled Practice Location: 1390 Us Highway 61 Ste 2200n, Festus, MO 63028 Phone: 314-467-3800 | |
Natalie Joan Wilson, CPNP Pediatrics Medicare: Medicare Enrolled Practice Location: 1463 Us Hwy 61, Suite C, Festus, MO 63028 Phone: 314-596-6541 Fax: 636-933-2910 | |
Dr. Christine Jeewan Park, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1275 N Truman Blvd, Festus, MO 63028 Phone: 844-853-8937 | |
Dr. Kalpana Veeramreddy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1463 Us Highway 61, Festus, MO 63028 Phone: 636-937-2755 Fax: 636-933-2910 |