Individual
HAMED A AL-GHANIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 259-0966
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00044399
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002936
—
WA
01
—
200254
WORK COMP
WA
05
—
8433773
—
WA
01
—
8907038
CRIME VICTIMS
WA
01
—
MD00044399
LICENSE
WA
Enumeration date
08/10/2006
Last updated
06/16/2014
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