Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223X0400X | Orthodontists | 10288 | WA |
Y | 1223X0400X | Orthodontists | DE00010288 | WA |
NPI | 1053541730 |
---|---|
Provider Name | Dr. Shafeena Chatur |
First Address | Seattle, WA 98107-3875 |
Second Address | Seattle, WA 98107-3875 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2009 |
Last Update Date | 11/01/2019 |