DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TRUDY M SHADY, MD

Active

DR. TRUDY M SHADY, MD is a Pulmonary Disease healthcare provider located in BELLEVILLE, Illinois. NPI 1417940354 is currently active in the NPPES registry. Verify at CMS.

Pulmonary Disease · BELLEVILLE, IL

Registration Details

NPI Number
1417940354
Provider Type
Individual
Gender
Female
NPI Issued
Aug 25, 2005 (20.966597188049 yrs)
Last Updated
Sep 2, 2020
Licenses
R3L47 (MO)
036-089376 (IL)
036-089376 (IL)

Practice Information

Address
4600 MEMORIAL DR STE 200
BELLEVILLE, IL, 622265363
Browse IL providers · Browse ZIP 62226
Phone
6182332220
Fax
6182332555
Primary Specialty
Pulmonary Disease
207RP1001X
Additional Specialty
Internal Medicine
Additional Specialty
Pulmonary Disease

Other Pulmonary Disease Providers in BELLEVILLE, IL

Name Credential NPI
DOUGLAS DOTHAGER MD 1871599738
ABDULSALAM JAMOUS MD 1891778221
WILMAN ORTEGA PEREZ M.D. 1720174246
KASHIF SHAHZAD BHUTTO MD 1083791651
DR. VENTRAPRAGADA S MOHAN M.D. 1649321183
BARBARA ANN SUDHOLT M.D. 1780735308
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.