Individual
REZA TABIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11521 NE 128TH ST STE 100, KIRKLAND, WA 98034-4317
(425) 899-6800
(425) 899-6808
Mailing address
PO BOX 34036, SEATTLE, WA 98124-1036
(425) 899-3292
(425) 899-3269
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00047541
WA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD00047541
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0220450
LABOR & IND.
WA
05
—
243067
—
OR
05
—
8480790
—
WA
01
—
8944545
CRIME VICTIMS
WA
01
—
P00410143
RAILROAD MEDICARE
—
Enumeration date
02/06/2007
Last updated
03/07/2012
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