Individual
DR. SHABNAM BARNHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1706 S. MERIDIAN, SUITE 130, PUYALLUP, WA 97371
(253) 848-8797
(253) 845-0100
Mailing address
11102 SUNRISE BLVD E, SUITE 103, PUYALLUP, WA 98374
(253) 848-8797
(253) 845-0100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
45513
MN
208000000X
Pediatrics Physician
Primary
MD60097558
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003790
—
WA
Enumeration date
03/01/2006
Last updated
10/01/2013
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