Individual
MARYAM EBADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-5759
(206) 598-4121
Mailing address
1959 NE PACIFIC ST., PO BOX 356043, SEATTLE, WA 98195
(520) 345-3543
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125079094
IL
2085R0001X
Radiation Oncology Physician
Primary
ML61297442
WA
Other
Enumeration date
07/08/2021
Last updated
06/28/2022
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