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Organization

PEDIATRIC SPECIALTY PRACTICES, PLLC

Active
Other names
PSP
Organization subpart
No

Provider details

NPI number
Authorized official
NAUMAN AHMAD MD (MANAGING DIRECTOR)
(347) 547-4176
Entity
Organization

Contact information

Practice address
32124 1ST AVE S STE 100, FEDERAL WAY, WA 98003-5761
(253) 661-5939
Mailing address
32124 1ST AVE S STE 100, FEDERAL WAY, WA 98003-5761
(347) 547-4176

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2080P0202X
Pediatric Cardiology Physician

Other

Enumeration date
03/05/2019
Last updated
05/16/2024
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