Individual provider · Type 1 NPI
Shawn B. Khademi, DPM
Foot & Ankle Surgery Podiatrist · Renton, WA
NPI number
1124412184
Active
Practice location
4300 Talbot Rd S Ste 102
Renton, WA 98055-6238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016005850 (IL) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1348 (MA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO61142698 (WA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
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About NPI 1124412184
Shawn B. Khademi, DPM's National Provider Identifier is 1124412184, issued on Mar 26, 2015. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Renton, WA. The record was last updated on Dec 4, 2021.