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Individual

SHAHLAN T ALRADDAWI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6322 ROOSEVELT WAY NE, SEATTLE, WA 98115-6625
(206) 320-8050
(206) 320-8048
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A197476
CA
207R00000X
Internal Medicine Physician
Primary
MD61439940
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20231107652109
WA
Enumeration date
03/28/2020
Last updated
11/14/2025
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