Active NPI
Suaiman Syed Shoab, M.D.
- Vascular Surgery Physician
- Saint Louis, MO
National Provider Identifier
1093946873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 2009021871
- Practice address
- 3655 Vista Ave
Saint Louis, MO 63110-2539 - Phone
- (314) 577-6027
- NPI assigned
- Jul 28, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 2009021871 | MO | Primary |
Addresses
Primary practice location
3655 Vista Ave
Saint Louis, MO 63110-2539
Mailing address
27
Bryn Adda
Bangor, GWYNEDD LL57 2LJ
GB
Phone 01248361669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009021871 | MO | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1093946873",
"addresses": [
{
"country_code": "GB",
"country_name": "Great Britain",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "27",
"address_2": "BRYN ADDA",
"city": "BANGOR",
"state": "GWYNEDD",
"postal_code": "LL57 2LJ",
"telephone_number": "01248361669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 VISTA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102539",
"telephone_number": "314-577-6027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOAB",
"first_name": "SUAIMAN",
"middle_name": "SYED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-28",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MO",
"license": "2009021871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.