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Individual
SHAHINA BANTHANAVASI
Active
Individual
SHAHINA BANTHANAVASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00046685
WA
208M00000X
Hospitalist Physician
Primary
MD00046685
WA
Other
Enumeration date
07/12/2006
Last updated
02/24/2017
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