Individual
MAHMOOD KAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
(206) 326-2785
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
(206) 326-2785
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
20347
CA
363A00000X
Physician Assistant
Primary
PA10003149
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0171997
L&I PIN
WA
01
—
50435U
REGENCE BLUE SHIELD PIN
WA
05
—
8361388
—
WA
Enumeration date
08/01/2006
Last updated
04/22/2021
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