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Shabnam Majidian Moss

Anesthesiology

Allopathic & Osteopathic Physicians

601 W 5th Ave Ste 500, Spokane, WA 99204-2756

PECOS Enrollment

This provider is enrolled in PECOS as SHABNAM MOSS.

Based on the most recent information from CMS, provider Shabnam Majidian Moss is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1407103906
Provider Type
Individual
Full Name
Moss, Shabnam Majidian
Credential
DO

Gender
Female
Sole Proprietor
No
Enumeration Date
8/14/2012
Last Updated
5/29/2025

Contact Information

Practice Location

601 W 5th Ave Ste 500, Spokane, WA 99204-2756

(509) 344-2663

Unlisted Fax

Mailing Location

601 W 5th Ave Ste 400, Spokane, WA 99204-2715

(509) 344-2663

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License 20A13383 California

Shabnam Majidian Moss

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Tully, Brian William

Hay, John Michael

Dawley, Joshua D

Simmons, Nicholas Ray

Cheng, Vera H

Aguiar, Alfredo

Sanders, Stacie

Jones, Stephanie

Carlson, Christel A

Poll, Milt G