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NPI Code Detail

MEDICARE: DR. SHOKOUH PARDAKHTIM DNP

MEDICARE:  DR. SHOKOUH  PARDAKHTIM  DNP
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
1363LP2300XPrimary Care Nurse PractitionerAP61282793WA

General Provider Information

NPI Number : 1396483392
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHOKOUH PARDAKHTIM DNP
Provider Business Mailing Address
First Line : 904 7TH AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-1132
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 904 7TH AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-1132
Country : US
Telephone Number : 206-329-1760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2022
Last Update Date : 12/12/2025

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Directions to “ DR. SHOKOUH PARDAKHTIM DNP” Practice Location

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