Organization
SIDRA HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UBAH GAANI NP (SOLE MEMBER)
(253) 642-4104
Entity
Organization
Contact information
Practice address
4219 S OTHELLO ST # 105F, SEATTLE, WA 98118-3892
(206) 910-0667
(206) 673-8050
Mailing address
4219 S OTHELLO ST # 105F, SEATTLE, WA 98118-3892
(206) 673-8050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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