Individual
JAHEDA SHIRZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7426 W BONNIE PL, KENNEWICK, WA 99336-1124
(509) 783-5059
(509) 736-1168
Mailing address
7426 W BONNIE PL, KENNEWICK, WA 99336-1124
(509) 783-5059
(509) 736-1168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA10001231
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8386898
—
WA
Enumeration date
08/14/2006
Last updated
07/08/2007
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