Individual
DR. SHOBHA WILLIAMSON STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60503747
WA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
60503747
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982993770
—
WA
01
—
8936088
MEDICARE PIN
WA
Enumeration date
04/01/2011
Last updated
07/16/2022
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