Shirbacheh, Mansour V
Shirbacheh, Mansour V is an individual health care provider with primary practice located at 1708 Yakima Ave Ste 115, Tacoma WA 98405-5307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Shirbacheh, Mansour V can be contacted via phone (253) 682-0925.Contact Information
Primary practice address
1708 Yakima Ave Ste 115
Tacoma WA 98405-5307
Phone: (253) 682-0925
Fax: (253) 682-0927
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | MD00041506 | Washington |
Profile Details
NPI number | 1831244839 |
---|---|
LBN Legal business name | Shirbacheh, Mansour V |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2007 |
Last updated | Dec 9th, 2020 - about 5 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 | 1831244839 | NPPES |
Washington | MEDICAID | 1045856 |
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