Individual
RAMI SOUFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
990 SYLVAN WAY STE 101, BREMERTON, WA 98310-2851
(360) 479-3657
Mailing address
990 SYLVAN WAY STE 101, BREMERTON, WA 98310-2851
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125075187
IL
207L00000X
Anesthesiology Physician
Primary
OP61420516
WA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
OP61420516
WA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
OS022068
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2018
Last updated
07/07/2023
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