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Individual

DR. SAMEER KISHEN MENDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1229 MADISON ST, SUITE 1440, SEATTLE, WA 98104-3586
(206) 625-0578
Mailing address
1229 MADISON ST, SUITE 1440, SEATTLE, WA 98104-3586
(206) 625-0578

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A116096
CA
207L00000X
Anesthesiology Physician
MD166680
OR
207L00000X
Anesthesiology Physician
Primary
MD60539006
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500675701
OR
Enumeration date
06/20/2008
Last updated
05/19/2015
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