Fatima S Shah, DO | |
315 Se Stone Mill Dr, Suite 102, Vancouver, WA 98684-6998 | |
(360) 816-2700 | |
(360) 816-2710 |
Full Name | Fatima S Shah |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 315 Se Stone Mill Dr, Vancouver, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497753099 | NPI | - | NPPES |
P00822615 | Other | WA | RR MEDICARE |
8942796 | Other | WA | CRIME VICTIMS WA STATE |
0214145 | Other | WA | LABOR & IND. WA STATE |
200334350 | Medicaid | IN | |
240360 | Medicaid | OR | |
8465619 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OP00002144 (Washington) | Primary |
Entity Name | Sea-mar Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811051170 PECOS PAC ID: 7315831161 Enrollment ID: O20040211001210 |
Mailing Address | Practice Location Address |
---|---|
Fatima S Shah, DO Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Fatima S Shah, DO 315 Se Stone Mill Dr, Suite 102, Vancouver, WA 98684-6998 Ph: (360) 816-2700 |
Andrea Vallejo Carnie, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7410 Delaware Ln Uppr Level, Vancouver, WA 98664 Phone: 360-566-4402 | |
David Malekooti, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2101 Ne 139th St Ste 450, Vancouver, WA 98686 Phone: 360-487-4848 | |
Mrs. Sherilyn Marie Foltz Cook, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 16500 Se 15th St, Ste 100, Vancouver, WA 98683 Phone: 360-254-4402 Fax: 360-892-9241 | |
Dr. Matthew Howard Rose, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 N Devine Rd, Vancouver, WA 98661 Phone: 360-952-4457 Fax: 360-828-7409 | |
Dr. Michele Lynn Sequeira, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 12607 Se Mill Plain Blvd, Vancouver, WA 98684 Phone: 360-891-6208 Fax: 360-418-6006 | |
Dr. Kevin Deweber, MD, FAMSSM, FAAFP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 E. 33rd Street, Family Medicine Of Sw Washington, Vancouver, WA 98663 Phone: 360-514-7550 Fax: 360-514-7494 | |
Dr. David Paik, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 E 33rd St, Suite 100, Vancouver, WA 98663 Phone: 360-514-7550 Fax: 360-514-7553 |