Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shobha Williamson Stack, MD

Individual provider Internal Medicine Physician · NPI 1982993770

Dr. Shobha Williamson Stack, MD is an Internal Medicine Physician in Kirkland, Washington. Licensed in Washington. Registered with an NPI since 2011.

Licensed in
WA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12040 NE 128th St
Kirkland, WA 98034-3013
Phone: (425) 542-3630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X · Licence 60503747 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD60503747 (WA)

Record details

NPI number1982993770
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2011
Last updated in NPPESJuly 16, 2022
Certification dateJuly 3, 2021
Mailing address12040 Ne 128th St, Kirkland, WA 98034-3013

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