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1730110164

NPI Code Detail

MEDICARE: MARGARETT SHNORHAVORIAN MD

MEDICARE: MARGARETT SHNORHAVORIAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	MD00045698	WA
2	2088P0231X	Pediatric Urology Physician	MD00045698	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730110164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARETT SHNORHAVORIAN MD

Provider Business Mailing Address
First Line	:	PO BOX 50010
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98105-1010
Country	:	US
Telephone Number	:	206-987-8450
Fax Number	:	206-987-8484

Provider Business Practice Location Address
First Line	:	4800 SAND POINT WAY NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98105-3901
Country	:	US
Telephone Number	:	206-987-2509
Fax Number	:	206-987-3835

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	02/03/2009

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Directions to “ MARGARETT SHNORHAVORIAN MD” Practice Location

Language	Start Address	Practice Location

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