Provider Demographics
NPI:1386975522
Name:SHAHANI, NOREEN RAMJI (DDS)
Entity type:Individual
Prefix:DR
First Name:NOREEN
Middle Name:RAMJI
Last Name:SHAHANI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:NOREEN
Other - Middle Name:ALNOOR
Other - Last Name:RAMJI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 13060
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98206-3060
Mailing Address - Country:US
Mailing Address - Phone:425-789-3700
Mailing Address - Fax:425-789-3754
Practice Address - Street 1:2722 COLBY AVE
Practice Address - Street 2:SUITE 318
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3557
Practice Address - Country:US
Practice Address - Phone:425-551-1000
Practice Address - Fax:425-551-1001
Is Sole Proprietor?:No
Enumeration Date:2010-01-28
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE601125011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice