Individual
DR. SINA TAVAKOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-7200
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
MD60631132
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073833539
—
WA
Enumeration date
06/08/2010
Last updated
08/04/2016
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