Individual
MARIAM N SHEHATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
904 7TH AVE, SEATTLE, WA 98104
(206) 520-5000
Mailing address
801 S STEVENS ST, SPOKANE, WA 99204-2654
(509) 747-4455
(509) 363-7064
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD60975921
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821450537
—
WA
Enumeration date
03/22/2016
Last updated
08/31/2022
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