Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW CARL SHORE
Active Sole ProprietorANDREW CARL SHORE is a Internal Medicine healthcare provider located in RIVERSIDE, Missouri. NPI 1174028120 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · RIVERSIDE, MO
Registration Details
- NPI Number
- 1174028120
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2018 (8.3928983167055 yrs)
- Last Updated
- Sep 8, 2022
- Licenses
-
2022027327 (MO)2022027327 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2906 NW VIVION RDRIVERSIDE, MO, 641501502Browse MO providers · Browse ZIP 64150
- Phone
- 8165995050
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.