Individual
MEHRDAD SHOJAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-1000
(360) 487-1001
Mailing address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-1000
(360) 487-1001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00048225
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD00048225
WASHINGTON LICENSE
WA
Enumeration date
05/17/2007
Last updated
07/08/2007
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