Shadman, Mazyar
Shadman, Mazyar is an sole proprietor health care provider with primary practice located at 825 Eastlake Ave E , Seattle WA 98109-4405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Shadman, Mazyar can be contacted via phone (206) 288-1000.Contact Information
Primary practice address
825 Eastlake Ave E
Seattle WA 98109-4405
Phone: (206) 288-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD60222800 | Washington |
Profile Details
| NPI number | 1750554077 |
|---|---|
| LBN Legal business name | Shadman, Mazyar |
| Credentials | MD,MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2008 |
| Last updated | Jul 7th, 2014 - about 11 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 | 1750554077 | NPPES |
| Washington | MEDICAID | 1750554077 |
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