Individual
SHUKRA A. HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1600
Mailing address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00046259
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8466229
—
WA
Enumeration date
12/05/2006
Last updated
04/13/2021
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