Menda, Shivali Agnani

Menda, Shivali Agnani is an individual health care provider with primary practice located at 1145 Broadway , Seattle WA 98122-4201. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is her primary health care specialty. Menda, Shivali Agnani can be contacted via phone (206) 682-3447.

Contact Information

Primary practice address
1145 Broadway Seattle WA 98122-4201
Phone: (206) 682-3447
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD60589607 Washington
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X MD60589607 Washington

Profile Details

NPI number 1164749768
LBN Legal business name Menda, Shivali Agnani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2010
Last updated Sep 18th, 2018 - about 8 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 1164749768 NPPES
Washington MEDICAID 1164749768

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