Provider Demographics
NPI:1962842724
Name:POWELL, SHAKIRA DAWN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAKIRA
Middle Name:DAWN
Last Name:POWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:615 S NEW BALLAS RD
Mailing Address - Street 2:DEPT OF OB/GYN
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8221
Mailing Address - Country:US
Mailing Address - Phone:314-251-6462
Mailing Address - Fax:314-251-4492
Practice Address - Street 1:615 SOUTH NEW BALLAS
Practice Address - Street 2:DEPT OF OB/GYN
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63341
Practice Address - Country:US
Practice Address - Phone:314-251-6462
Practice Address - Fax:314-251-4492
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2013017019207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology