Individual
MAHMUDA TASNEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
Mailing address
1100 9TH AVE, MS: M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00035750
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR & INDUSTRY
WA
01
—
110191487
RAILROAD MEDICARE
—
05
—
8223620
—
WA
01
—
TA7777
BLUE SHIELD
WA
01
—
US1037417
AETNA/USHC SPECIALIST
WA
Enumeration date
07/14/2006
Last updated
03/11/2015
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