Individual
MRS. SHAHLA KATHLEEN PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1350 CONNECTICUT AVE NW STE 1250, WASHINGTON, DC 20036-1728
(415) 658-6791
(415) 252-7176
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
(415) 252-7176
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0003607
MD
363A00000X
Physician Assistant
Primary
PA200001254
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149619
MEDICARE GROUP PTAN
MD
01
—
945L
MEDICARE GROUP PTAN
MD
Enumeration date
10/23/2007
Last updated
05/22/2025
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