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Individual
DR. SHAISTA QUDDUSI
Active
Individual
DR. SHAISTA QUDDUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00032808
WA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD00032808
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195405
L & I
WA
01
—
0205416
L & I
WA
01
—
04301438
ECFMG
WA
05
—
8228041
—
WA
01
—
8904723
CRIME VICTIMS
WA
01
—
8940048
CRIME VICTIMS
WA
01
—
P00181501
RAILROAD
WA
Enumeration date
07/02/2006
Last updated
12/08/2022
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