Individual
MARNA J EISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1229 MADISON ST STE 1050, SEATTLE, WA 98104-3306
(206) 215-2651
(206) 386-6913
Mailing address
645 W LAKE SAMMAMISH PKWY NE, BELLEVUE, WA 98008-4226
(504) 782-0332
(425) 590-9719
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD.201153
LA
2085R0202X
Diagnostic Radiology Physician
Primary
MD.60138074
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1079456
—
LA
Enumeration date
07/27/2007
Last updated
07/20/2010
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