Shahina Banthanavasi, MD
Hospitalist in Renton, WA. Individual provider (NPI-1).
NPI number1790700607
StatusActive
Last updated in NPPESFeb 24, 2017
Details
- NPI
- 1790700607
- Entity type
- Individual (NPI-1)
- Name
- Shahina Banthanavasi
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2006
- Last updated
- Feb 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | MD00046685 | WA | Yes |
| 207R00000X | Internal Medicine | MD00046685 | WA |
Practice location
400 S 43rd StRenton, WA 98055-5714
Phone 425-228-3440
Mailing address
Po Box 34876Seattle, WA 98124-1876
Phone 425-656-5412
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