Provider Demographics
NPI:1548918170
Name:KABRA, SHIVESH (MD, MS)
Entity type:Individual
Prefix:
First Name:SHIVESH
Middle Name:
Last Name:KABRA
Suffix:
Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:MSC 8242-22-02
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110
Mailing Address - Country:US
Mailing Address - Phone:314-362-8200
Mailing Address - Fax:
Practice Address - Street 1:1 BARNES JEW HOSP PLZ
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1003
Practice Address - Country:US
Practice Address - Phone:314-747-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-14
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2023018576208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology