Individual
KHADIJ ASSANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
11913 NE 195TH ST, BOTHELL, WA 98011-3147
(425) 489-3100
(877) 516-8649
Mailing address
11913 NE 195TH ST, BOTHELL, WA 98011-3147
(425) 489-3100
(877) 516-8649
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP61441649
WA
208M00000X
Hospitalist Physician
OP61441649
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2165774
—
WA
Enumeration date
03/23/2020
Last updated
03/11/2026
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