Organization
CARDIORENAL THERAPEUTICS OF WASHINGTON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REHAN SHAH MD (OWNER)
(516) 721-7069
Entity
Organization
Contact information
Practice address
1201 PACIFIC AVE STE 400, TACOMA, WA 98402-4381
(253) 300-8447
Mailing address
1201 PACIFIC AVE STE 400, TACOMA, WA 98402-4381
(125) 322-8990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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