Provider Demographics
NPI:1164005708
Name:SHIFA HEALTHCARE PLLC
Entity Type:Organization
Organization Name:SHIFA HEALTHCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ABADULLAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:253-565-8269
Mailing Address - Street 1:4817 70TH AVE W
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98467-3225
Mailing Address - Country:US
Mailing Address - Phone:253-565-8269
Mailing Address - Fax:
Practice Address - Street 1:4817 70TH AVE W
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98467-3225
Practice Address - Country:US
Practice Address - Phone:253-565-8269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-02
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty