Individual
DR. CARL JOHN BASAMANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 BROADWAY, 6TH FLOOR, SEATTLE, WA 98122-5330
(206) 386-2600
(206) 622-1644
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
00023310
WA
207X00000X
Orthopaedic Surgery Physician
95-00304
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891156H
—
NC
Enumeration date
10/06/2006
Last updated
01/14/2016
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