Komal Shah, MD | |
2608 Kwina Rd, Bellingham, WA 98226-9291 | |
(360) 380-6656 | |
(360) 384-2336 |
Full Name | Komal Shah |
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Gender | Female |
Speciality | Pediatrics |
Location | 2608 Kwina Rd, Bellingham, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295112431 | NPI | - | NPPES |
MD60843278 | Other | WA | WA STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD60843278 (Washington) | Primary |
208D00000X | General Practice | MD60843278 (Washington) | Secondary |
Entity Name | Lummi Indian Business Council |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669592374 PECOS PAC ID: 5395738231 Enrollment ID: O20040406000984 |
Mailing Address | Practice Location Address |
---|---|
Komal Shah, MD 2608 Kwina Rd, Bellingham, WA 98226-9291 Ph: (360) 380-6656 | Komal Shah, MD 2608 Kwina Rd, Bellingham, WA 98226-9291 Ph: (360) 380-6656 |
Elizabeth Amy Hicks, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Bellinger Rd, Bellingham, WA 98226 Phone: 858-775-6513 | |
Mara Wells Kelley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4545 Cordata Pkwy, Bellingham, WA 98226 Phone: 360-738-2200 Fax: 360-752-5678 | |
Nancy K Bischoff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4545 Cordata Pkwy, Bellingham, WA 98226 Phone: 360-738-2200 | |
Steven F. Wallace, M.D.,PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4545 Cordata Pkwy, Bellingham, WA 98226 Phone: 360-738-2200 Fax: 360-752-5679 | |
Julianne Elise Edwards, Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 Squalicum Pkwy, Bellingham, WA 98225 Phone: 360-738-2200 Fax: 360-752-5683 | |
James J. Bochsler, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4545 Cordata Pkwy, Bellingham, WA 98226 Phone: 360-738-2200 Fax: 360-715-2486 | |
Scott W. Mcguinness, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4545 Cordata Pkwy, Bellingham, WA 98226 Phone: 360-738-2200 Fax: 360-752-5678 |