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Individual

KASRA ATTARAN REZAEI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
908 JEFFERSON ST, SEATTLE, WA 98104-2433
(206) 744-2020
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD60461740
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689847022
WA
Enumeration date
04/07/2008
Last updated
09/30/2014
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