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Individual

DR. SANDRA SHORTT

Active
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Individual

DR. SANDRA SHORTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301049061
MI
207R00000X
Internal Medicine Physician
Primary
MD00021927
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0B56065004
MEDICARE PART B
MI
05
2037672
WA
05
4254388
MI
01
SS049061
HEALTH PLUS AND BCBS
MI
Enumeration date
01/23/2006
Last updated
11/21/2014
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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