Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ghazal Shadmani, MD

Individual provider Diagnostic Radiology Physician · NPI 1023634219

Dr. Ghazal Shadmani, MD is a Nuclear Medicine in Saint Louis, Missouri. Qualified in 2004, 22 years ago. Practices with Miracl LLC, a 97-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
22
Licensed in
MO
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

510 S Kingshighway Blvd Dept Radiology
Saint Louis, MO 63110-1016
Phone: (314) 362-7200
Fax: (314) 747-4189
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2025022425 (MO)
Nuclear Medicine Physician Taxonomy 207U00000X · Licence 2025022425 (MO)

Record details

NPI number1023634219
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2020
Last updated in NPPESAugust 13, 2025
Certification dateJune 23, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNUCLEAR MEDICINE
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Miracl Llc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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