Individual
DR. YASMIN BADRUDIN KASSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11311 BRIDGEPORT WAY SW STE 100, LAKEWOOD, WA 98499-3096
(253) 985-6490
Mailing address
11311 BRIDGEPORT WAY SW STE 100, LAKEWOOD, WA 98499-3096
(253) 985-6490
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
032080
CT
207RR0500X
Rheumatology Physician
072957
GA
207RR0500X
Rheumatology Physician
Primary
MD60871380
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106702
—
WA
05
—
817753
—
SC
01
—
SCE1025019
MEDICARE PIN
SC
Enumeration date
04/07/2006
Last updated
12/04/2020
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