Individual
SHATHA ALFREIHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 MICHIGAN AVENUE, NW, DIVISION OF OPHTHALMOLOGY,WEST WING 1.5, SUITE 400, WASHINGTON, DC 20010-2970
(202) 476-3045
Mailing address
111 MICHIGAN AVENUE, NW, DIVISION OF OPHTHALMOLOGY,WEST WING 1.5, SUITE 400, WASHINGTON, DC 20010-2970
(202) 476-3045
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MTL 003952
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MTL-003952
DC MEDICAL LICENSE
—
Enumeration date
09/07/2016
Last updated
09/07/2016
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