Individual
DR. SAMANEH DAVOUDIMOGHADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4300 TALBOT RD S STE 300, RENTON, WA 98055-6238
(425) 228-6262
(425) 228-6260
Mailing address
4300 TALBOT RD S STE 300, RENTON, WA 98055-6238
(425) 228-6262
(425) 228-6260
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
WA61387239
WA
207WX0107X
Retina Specialist (Ophthalmology) Physician
WA61387239
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2246367
—
WA
Enumeration date
07/25/2017
Last updated
07/01/2024
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