Provider Demographics
NPI:1285865527
Name:SHAKHSHEER, BADDR AHED (MD)
Entity Type:Individual
Prefix:DR
First Name:BADDR
Middle Name:AHED
Last Name:SHAKHSHEER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1 CHILDRENS PL
Mailing Address - Street 2:STE 6110, MSC 8235-49-6110
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1002
Mailing Address - Country:US
Mailing Address - Phone:314-454-6022
Mailing Address - Fax:314-454-2442
Practice Address - Street 1:1 CHILDRENS PL
Practice Address - Street 2:DIV SURG PED, STE 2A
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1002
Practice Address - Country:US
Practice Address - Phone:314-454-6022
Practice Address - Fax:314-454-2442
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2023-09-19
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Provider Licenses
StateLicense IDTaxonomies
IL036.1328252086S0120X
MO2017033337208600000X, 2086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200061777Medicaid