Organization
MAAN SALLOUM MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAAN SALLOUM MD (PROVIDER/OWNER)
(253) 318-7015
Entity
Organization
Contact information
Practice address
1370 116TH AVE NE, SUITE 100, BELLEVUE, WA 98004
(425) 462-6100
(425) 635-0742
Mailing address
8215 64TH STREET CT W, UNIVERSITY PLACE, WA 98467-3911
(253) 380-6551
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00016874
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
602 201 018
UBI
WA
Enumeration date
08/31/2012
Last updated
08/23/2018
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