Individual
SID H SIAHPUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD. MPH, CGP
Contact information
Practice address
10500 BEARDSLEE BLVD UNIT 1665, BOTHELL, WA 98041-0300
(425) 209-0202
(425) 818-4879
Mailing address
10500 BEARDSLEE BLVD UNIT 1665, BOTHELL, WA 98041-0300
(425) 209-0202
(425) 818-4879
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
53335-20
WI
2084P0800X
Psychiatry Physician
5465497134
IL
2084P0800X
Psychiatry Physician
Primary
MD60240047
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53335-20
WISCONSIN STATE LICENSE
WI
01
—
MD60240047
WA STATE LICENSE
WA
Enumeration date
05/23/2007
Last updated
11/20/2025
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