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Contact Information

SHOLEH BAGHERI, MD
1615 DELAWARE ST
LONGVIEW, WA98632-2310
 Phone: 360-414-2730
 Fax: 360-414-2739
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SHOLEH BAGHERI · (Female)

NPI # 1285746875
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 02/05/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 216509
  • WA License # MD00047589
  • NY Medicaid 02529362
  • WA Medicaid 8477382
  • Other P00392543 RAILROAD MEDICARE
  • WA Other 8944123 CRIME VICTIMS
  • WA Other 0219444 LABOR & INDUSTRIES
Hospital affiliation(s)
  • PEACEHEALTH SOUTHWEST MEDICAL CENTER - (Acute Care)
    400 NE MOTHER JOSEPH PLACE
    VANCOUVER, WA 98668
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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