Shahin Etemadi
Endodontist
10025 19th Ave Se Ste 202
Everett
, Washington 98208-4275
Shahin Etemadi
Endodontist
10025 19th Ave Se Ste 202
Everett
, Washington 98208-4275
(425) 337-6190
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Shahin Etemadi
- 10025 19th Ave Se Suite 202
- Everett, WA
- Zip : 98208-4275
- Fax : (425) 337-6190
- Phone : (425) 357-8747
Second Address
- Shahin Etemadi
- 10025 19th Ave Se Ste 202
- Everett, WA
- Zip : 98208-4275
- Fax : (425) 337-6190
- Phone : (425) 357-8747
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | DE00010167 | WA |
National Provider Identifier
| NPI | 1093790826 |
|---|---|
| Provider Name | Shahin Etemadi |
| First Address | Everett, WA 98208-4275 |
| Second Address | Everett, WA 98208-4275 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/12/2005 |
| Last Update Date | 03/05/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.