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

DR. SHANNON GRACE FARMAKIS, MD

Deactivated

DR. SHANNON GRACE FARMAKIS, MD is a Diagnostic Radiology healthcare provider located in SAINT LOUIS, Missouri. NPI 1720280175 is deactivated in the NPPES registry. Verify at CMS.

Diagnostic Radiology · SAINT LOUIS, MO

This NPI has been deactivated. The record was deactivated on July 17, 2007. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number: 1720280175
Provider Type: Individual
Gender: Female
NPI Issued: Jun 5, 2007 (0.11475409836066 yrs)
Last Updated: Nov 17, 2022
Deactivated: Jul 17, 2007
Licenses: M-14782 (ID)

MD60962082 (WA)

0444325 (KS)

M-14782 (ID)

200813456 (MO)

Practice Information

Address: 615 S NEW BALLAS RD

SAINT LOUIS, MO, 631418221
Browse MO providers · Browse ZIP 63141
Phone: 3142516031
Fax: 3142516343
Primary Specialty: Diagnostic Radiology
2085R0202X
Additional Specialty: Pediatric Radiology
Additional Specialty: Diagnostic Radiology
Additional Specialty: Diagnostic Radiology
Additional Specialty: Diagnostic Radiology

Other Diagnostic Radiology Providers in SAINT LOUIS, MO

Name	Credential	NPI
DR. DAVID JAMES INGLE	DO	1700884491
ANDREW R MARTINE	M.D.	1679573927
DR. NADEEM D PARKAR	MD	1235121013
DR. KAREN F. GOODHOPE	M.D.	1295729499
DR. JULIAN N VERDE	M.D.	1972597078
DR. MYUNG JA KANG	MD	1932193976

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.