Shaddy, Sophia

Shaddy, Sophia is an individual health care provider with primary practice located at 12501 E Marginal Way S Ste 200 , Tukwila WA 98168-5163. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Shaddy, Sophia can be contacted via phone (206) 576-6050.

Contact Information

Primary practice address
12501 E Marginal Way S Ste 200 Tukwila WA 98168-5163
Phone: (206) 576-6050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 60958740 Washington

Profile Details

NPI number 1871912105
LBN Legal business name Shaddy, Sophia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2014
Last updated Aug 12th, 2022 - about 4 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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