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Individual

DR. ALI SULTAN-QURRAIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 656-5566
(425) 656-5567
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057
(425) 690-2715

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
MD60405480
WA
2084N0400X
Neurology Physician
35133254
OH
2084N0400X
Neurology Physician
64358
WI
2084N0400X
Neurology Physician
A131959
CA
2084N0400X
Neurology Physician
MD60405480
WA
2084V0102X
Vascular Neurology Physician
Primary
MD60405480
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114156940
WI
05
2019320
WA
01
G8986110
MEDICARE
WA
Enumeration date
07/14/2009
Last updated
07/18/2023
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