FATIMA IMRAN SHAH (RD,LD) – Registered Dietitian, NPI 1104192004

FATIMA IMRAN SHAH (RD,LD) is a healthcare provider. based in Fenton, Missouri. specializing in Registered Dietitian. They hold the professional credentials RD,LD. They hold a License No. 2011027109 (MO). The NPI Number for FATIMA IMRAN SHAH (RD,LD) is 1104192004

Main info

Female
Name
FATIMA IMRAN SHAH (RD,LD)
NPI
1104192004
Phone
(636) 496-2543
Address
1015 BOWLES AVE
Enumeration Date
26 March 2012
Last Update Date
26 March 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for FATIMA IMRAN SHAH (RD,LD)

  • 1015 BOWLES AVE

    FENTON, MO 630262394

    Phone: (636) 496-2543

    Type: Location

  • 1331 CULPEPPER RIDGE DR

    BALLWIN, MO 630217526

    Phone: (636) 225-1332

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63026)

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Frequently asked questions

Is FATIMA IMRAN SHAH (RD,LD) listed with a National Provider Identifier?
Yes — FATIMA IMRAN SHAH (RD,LD) has NPI 1104192004 on file in the registry.
Would FATIMA IMRAN SHAH (RD,LD) appear as active to a payer?
You can treat FATIMA IMRAN SHAH (RD,LD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to FATIMA IMRAN SHAH (RD,LD)?
FATIMA IMRAN SHAH (RD,LD)'s specialty line reads Registered Dietitian. Clinical services aligned with this taxonomy classification.
Where in Missouri is FATIMA IMRAN SHAH (RD,LD) registered?
Use Fenton, Missouri as the headline location for FATIMA IMRAN SHAH (RD,LD) here.
When was this NPI issued?
Enumeration for FATIMA IMRAN SHAH (RD,LD) is noted as March 26, 2012 where the registry provides it.

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