Individual
TANYA M NAZEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1101 MADISON ST STE 1400, SEATTLE, WA 98104-4308
(206) 386-6266
(206) 386-2844
Mailing address
1101 MADISON ST STE 1400, SEATTLE, WA 98104-4308
(206) 386-6266
(206) 386-2844
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00046388
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039595
L&I
WA
05
—
1649291907
—
WA
01
—
4941NA
BLUE SHIELD
WA
05
—
8468431
—
WA
Enumeration date
07/22/2006
Last updated
06/23/2021
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