Individual
FARSHID FIROOZBAKHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
945 HILDEBRAND LN NE, STE 100, BAINBRIDGE ISLAND, WA 98110-2877
(206) 991-2121
(206) 991-2151
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101241021
VA
207R00000X
Internal Medicine Physician
Primary
MD60261524
WA
208M00000X
Hospitalist Physician
017873
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30207966
—
NH
05
—
433007699
—
ME
Enumeration date
02/09/2007
Last updated
10/07/2020
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