Provider Demographics
NPI:1861711210
Name:SHAWKY, MONA (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:MONA
Middle Name:
Last Name:SHAWKY
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14410 NE BEL RED RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-3953
Mailing Address - Country:US
Mailing Address - Phone:206-858-2617
Mailing Address - Fax:206-466-6278
Practice Address - Street 1:14410 NE BEL RED RD STE 100
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-3953
Practice Address - Country:US
Practice Address - Phone:206-898-2416
Practice Address - Fax:206-466-6278
Is Sole Proprietor?:No
Enumeration Date:2010-05-25
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60465000207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2037097Medicaid
WAG8929623Medicare PIN