Individual
DR. PETER SHALIT
Active
Individual
DR. PETER SHALIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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