Shah, Komal
Shah, Komal is an individual health care provider with primary practice located at 2592 Kwina Rd , Bellingham WA 98226-9278. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Shah, Komal can be contacted via phone (360) 380-6656.Contact Information
Primary practice address
2592 Kwina Rd
Bellingham WA 98226-9278
Phone: (360) 380-6656
Fax: (360) 384-2336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD60843278 | Washington |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD60843278 | Washington |
Profile Details
| NPI number | 1295112431 |
|---|---|
| LBN Legal business name | Shah, Komal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2015 |
| Last updated | Apr 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295112431 | NPPES |
| Washington | Other | MD60843278 | WA STATE LICENSE |
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