Individual
DR. JANA LYNN FAHMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402
(253) 761-4200
(253) 761-4201
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00038576
WA
2085U0001X
Diagnostic Ultrasound Physician
00038576
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0139020
LNI TRA-MINW, PS KING COUNTY
WA
01
—
0139021
LNI UAOM
WA
05
—
1090576
—
WA
01
—
3231FA
REGENCE BLUE SHIELD TRA
WA
01
—
7252FA
REGENCE BLUE SHIELD UNION AVENUE OPEN
WA
05
—
8254112
—
WA
Enumeration date
11/16/2006
Last updated
08/30/2024
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