Individual
KOMAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2608 KWINA RD, BELLINGHAM, WA 98226-9291
(360) 380-6656
(360) 384-2336
Mailing address
2608 KWINA RD, BELLINGHAM, WA 98226-9291
(360) 380-6656
(360) 384-2336
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60843278
WA
208D00000X
General Practice Physician
MD60843278
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD60843278
WA STATE LICENSE
WA
Enumeration date
04/27/2015
Last updated
10/29/2024
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