Individual
SUDAD IMAD KAZZAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(800) 287-2680
(877) 515-2975
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
(800) 287-2680
(877) 515-2975
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD70001688
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2352390
—
WA
Enumeration date
04/07/2020
Last updated
01/12/2026
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