Individual
DR. PETER SHALIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 BOREN AVE STE 850, SEATTLE, WA 98104-3301
(206) 624-0688
(206) 624-2432
Mailing address
901 BOREN AVE STE 850, SEATTLE, WA 98104-3301
(206) 624-0688
(206) 624-2432
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23946
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110097492
RAILROAD MEDICARE
WA
05
—
1301498
—
WA
01
—
4207422
AETNA PROVIDER NUMBER
WA
01
—
70246
L & I PROVIDER NUMBER
WA
01
—
SH2229
REGENCE PROVIDER NUMBER
WA
Enumeration date
08/17/2005
Last updated
10/05/2018
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