Individual
DR. MAZYAR SHADMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD,MPH
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 288-1000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD60222800
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750554077
—
WA
Enumeration date
04/08/2008
Last updated
07/07/2014
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