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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAWN B KHADEMI, DPM

Active Sole Proprietor

SHAWN B KHADEMI, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in RENTON, Washington. NPI 1124412184 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · RENTON, WA

Registration Details

NPI Number
1124412184
Provider Type
Individual
Gender
Male
NPI Issued
Mar 26, 2015 (11.360277526492 yrs)
Last Updated
Dec 4, 2021
Licenses
016005850 (IL)
1348 (MA)
PO61142698 (WA)
Sole Proprietor
Yes

Practice Information

Address
4300 TALBOT RD S STE 102
RENTON, WA, 980556238
Browse WA providers · Browse ZIP 98055
Phone
4252773668
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in RENTON, WA

Name Credential NPI
DR. DEBORAH JEAN KETTERER D.P.M. 1063584498
DR. CHRISTOPHER ALAN ROBERTSON D.P.M. 1154685600
DR. NICK NGHIA DANG D.P.M. 1184989451
SCOTT CARLIS 1558783639
PADHMA VENKITAPATHY 1003202870
CALVIN EUGENE DAVIS DPM 1295225779
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.