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Individual
SHAHLA Y NAMAK
Active
Individual
SHAHLA Y NAMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200501629
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10208521
—
VA
01
—
1404Y
BCBS
NC
01
—
183716
MEDCOST
NC
05
—
3810003636
—
WV
05
—
5902281
—
NC
01
—
7925722
AETNA
—
01
—
807294
PARTNERS
NC
05
—
Q01629
—
SC
Enumeration date
11/30/2005
Last updated
02/23/2015
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