Individual
MASTANEH AHMADI-KASHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1330 ROCKEFELLER AVE, STE 400, EVERETT, WA 98201-1684
(425) 261-4950
(425) 261-4951
Mailing address
1019 S CENTRAL AVE, GLENDALE, CA 91204-2210
(818) 244-4374
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD60555360
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2009
Last updated
04/03/2017
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