Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | MD036113 | DC |
NPI | 1003833443 |
---|---|
Provider Name | Dr. Shane Zamani |
First Address | Washington, DC 20037-2342 |
Second Address | Washington, DC 20037-2342 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 08/07/2007 |