Provider Demographics
NPI:1841238714
Name:SHUMAN, ROBERT B (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:B
Last Name:SHUMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1110 HIGHLANDS PLAZA DRIVE E
Mailing Address - Street 2:SUITE 375
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1340
Mailing Address - Country:US
Mailing Address - Phone:314-367-3113
Mailing Address - Fax:314-367-6491
Practice Address - Street 1:1110 HIGHLANDS PLAZA DRIVE E
Practice Address - Street 2:SUITE 375
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1340
Practice Address - Country:US
Practice Address - Phone:314-367-3113
Practice Address - Fax:314-367-6491
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2008-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR6C55207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOA12315Medicare UPIN
MO006010056Medicare ID - Type Unspecified