Individual
SHANZA MUJEEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1708 YAKIMA AVE STE 107, TACOMA, WA 98405-5300
(253) 207-4850
(253) 627-7880
Mailing address
1708 YAKIMA AVE STE 107, TACOMA, WA 98405-5300
(253) 207-4850
(253) 627-7880
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD60677530
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2069182
—
WA
Enumeration date
08/10/2010
Last updated
12/07/2020
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