Individual
BABAK ROSHANAEI-MOGHADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2271 NE 51ST ST, SEATTLE, WA 98105-5713
(206) 519-9010
(206) 522-7815
Mailing address
2271 NE 51ST ST, SEATTLE, WA 98105-5713
(206) 519-9010
(206) 522-7815
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
60175566
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0026069
INSTITUTIONAL PERMIT
—
Enumeration date
06/12/2007
Last updated
04/25/2024
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