Provider Demographics
NPI:1083206957
Name:SHAMDEEN, SALAHADDIN (SOLE PROPRIETOR)
Entity Type:Individual
Prefix:MR
First Name:SALAHADDIN
Middle Name:
Last Name:SHAMDEEN
Suffix:
Gender:M
Credentials:SOLE PROPRIETOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22921 30TH AVE S APT 307
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:WA
Mailing Address - Zip Code:98198-7210
Mailing Address - Country:US
Mailing Address - Phone:206-375-8565
Mailing Address - Fax:
Practice Address - Street 1:22921 30TH AVE S APT 307
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:WA
Practice Address - Zip Code:98198-7210
Practice Address - Country:US
Practice Address - Phone:206-375-8565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter