Individual
GILAD MIZRAHI GHANBARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
925 SENECA STREET, MAIL STOP: H8-GME, SEATTLE, WA 98101
(206) 583-6079
Mailing address
925 SENECA ST, MAIL STOP: H8-GME, SEATTLE, WA 98101-2742
(206) 583-6079
(203) 713-9066
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
307681
NY
208D00000X
General Practice Physician
Primary
OP61079628
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2019
Last updated
03/30/2023
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