Shah, Fatima S

Shah, Fatima S is an individual health care provider with primary practice located at 315 Se Stone Mill Dr Suite 102, Vancouver WA 98684-6998. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shah, Fatima S can be contacted via phone (360) 816-2700.

Contact Information

Primary practice address
315 Se Stone Mill Dr Suite 102 Vancouver WA 98684-6998
Phone: (360) 816-2700
Fax: (360) 816-2710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP00002144 Washington

Profile Details

NPI number 1497753099
LBN Legal business name Shah, Fatima S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jul 27th, 2012 - about 14 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 1497753099 NPPES
Washington Other P00822615 RR MEDICARE
Washington Other 8942796 RR MEDICARE
Washington Other 0214145 RR MEDICARE
Washington MEDICAID 200334350 RR MEDICARE
Washington MEDICAID 240360 RR MEDICARE
Washington MEDICAID 8465619 RR MEDICARE

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