Shahina Banthanavasi MD

NPI 1790700607 - Hospitalist - 208M00000X

NPI Details
NPI 1790700607
Gender Female
Enumeration Date 07/12/2006
Last Updated 05/31/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
400 S 43RD ST
RENTON WA, 98055-5714, US
Phone (425) 228-3440
Fax (253) 359-1954
Business Location
PO BOX 59028
RENTON WA, 98058-2028, US
Phone (425) 251-5110
Fax (425) 793-5507
Toxanomy
Taxonomy Code 208M00000X
License State Washington
License Number MD00046685
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According to our database, Shahina Banthanavasi MD NPI is 1790700607, taxonomy code is 208M00000X and license number is MD00046685, license state is located at Washington. Shahina Banthanavasi MD physically located at 400 S 43rd St, Renton WA, 98055-5714. NPI Number Shahina Banthanavasi MD has the Individual type.

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1790700607 NPI number is provided on an as is basis without warranty of any kind. 1790700607 is maintained by the National Plan & Provider Enumeration System. The contents of Shahina Banthanavasi MD are for informational purposes only.