Organization
BELLEVUE SURGERY ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEL G ELGHAZZAWY MD (OWNER)
(425) 688-1916
Entity
Organization
Contact information
Practice address
1135 116TH AVE NE, SUITE 550, BELLEVUE, WA 98004-4623
(425) 688-1916
(425) 688-1901
Mailing address
1135 116TH AVE NE, SUITE 550, BELLEVUE, WA 98004-4623
(425) 688-1916
(425) 688-1901
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00039270
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0146095
DEPT OF L&I
WA
01
—
6942EL
REGENCE BLUE SHIELD
WA
05
—
8274573
—
WA
Enumeration date
07/16/2007
Last updated
02/25/2008
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