Individual
SHAWN B KHADEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4300 TALBOT RD S STE 102, RENTON, WA 98055-6238
(425) 277-3668
Mailing address
4300 TALBOT RD S STE 102, RENTON, WA 98055-6238
(425) 277-3668
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
016005850
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
1348
MA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO61142698
WA
Other
Enumeration date
03/26/2015
Last updated
12/04/2021
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