NPI 1124412184

Shawn B Khademi, DPM

Practitioner Foot & Ankle Surgery Podiatrist Renton, WA

Practice location

Address: 4300 Talbot Rd S STE 102, Renton, WA 98055-6238
Phone: (425) 277-3668

Registered specialties (3)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence PO61142698 (WA)

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Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 016005850 (IL)

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 1348 (MA)

Registry record

NPI: 1124412184
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Mar 2015
Record last updated: 4 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.