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Individual

DR. MASSIE GHODS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1414 116TH AVE NE, SUITE E, BELLEVUE, WA 98004-3801
(206) 215-4545
(206) 215-4550
Mailing address
2701 1ST AVE, SUITE 320, SEATTLE, WA 98121-1123
(206) 448-2516
(206) 448-6473

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00027593
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0194901
L & I
WA
05
8283780
WA
Enumeration date
06/29/2006
Last updated
12/05/2008
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