Bagheri, Sholeh
Bagheri, Sholeh is an individual health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2310. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Bagheri, Sholeh can be contacted via phone (360) 414-2730.Contact Information
Primary practice address
1615 Delaware St
Longview WA 98632-2310
Phone: (360) 414-2730
Fax: (360) 414-2739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 216509 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00047589 | Washington |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD00047589 | Washington |
Profile Details
| NPI number | 1285746875 |
|---|---|
| LBN Legal business name | Bagheri, Sholeh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 5th, 2008 - about 17 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 | 1285746875 | NPPES |
| Washington | MEDICAID | 8477382 | |
| Washington | Other | 8944123 | |
| Washington | Other | P00392543 | |
| Washington | Other | 0219444 | |
| Washington | MEDICAID | 02529362 |
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