# MAAN SALLOUM MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376892778
- **Authorized official:** DR. MAAN SALLOUM MD (PROVIDER/OWNER)
- **Authorized official phone:** (253) 318-7015

## Contact information

- **Practice address:** 1370 116TH AVE NE, SUITE 100, BELLEVUE, WA 98004
- **Practice address phone:** (425) 462-6100
- **Practice address fax:** (425) 635-0742
- **Mailing address:** 8215 64TH STREET CT W, UNIVERSITY PLACE, WA 98467-3911
- **Mailing address phone:** (253) 380-6551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD00016874 | WA | Yes |

## Other

- **Enumeration date:** 08/31/2012
- **Last updated:** 08/23/2018