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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 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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