Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KHALED Y. SHABANY, D.M.D., M.S.
Active Sole ProprietorDR. KHALED Y. SHABANY, D.M.D., M.S. is a Periodontology healthcare provider located in CREVE COEUR, Missouri. NPI 1578638375 is currently active in the NPPES registry. Verify at CMS.
Periodontology · CREVE COEUR, MO
Registration Details
- NPI Number
- 1578638375
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2006 (19.688387002661 yrs)
- Last Updated
- Jan 20, 2023
- Licenses
-
2002003037 (MO)021.001930 (IL)2002003037 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
443 N NEW BALLAS RD STE 244CREVE COEUR, MO, 631416800Browse MO providers · Browse ZIP 63141
- Phone
- 3147551542
- Fax
- 3147551546
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
- Additional Specialty
- Periodontology
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.