Portnoy, Shulamit Menashe

Portnoy, Shulamit Menashe is an individual health care provider with primary practice located at 1465 S Grand Blvd , St. Louis MO 63104-1003. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Portnoy, Shulamit Menashe can be contacted via phone (314) 577-5609.

Contact Information

Primary practice address
1465 S Grand Blvd St. Louis MO 63104-1003
Phone: (314) 577-5609
Fax: (314) 268-4028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2003001990 Missouri
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 2003001990 Missouri
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 2003001990 Missouri

Profile Details

NPI number 1033115589
LBN Legal business name Portnoy, Shulamit Menashe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jan 11th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033115589 NPPES
Missouri MEDICAID 208419606

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