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

Fatima Imran Shah, RD, LD

Individual provider Registered Dietitian · NPI 1104192004

Fatima Imran Shah, RD, LD is a Registered Dietitian in Fenton, Missouri. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in
MO
In the registry since
2012
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

1015 Bowles Ave
Fenton, MO 63026-2394
Phone: (636) 496-2543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2011027109 (MO)

Record details

NPI number1104192004
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorNo
NPI enumeratedMarch 26, 2012
Last updated in NPPESMarch 26, 2012
Mailing address1331 Culpepper Ridge Dr, Ballwin, MO 63021-7526

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