Individual
AIMAN M QANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-2520
(206) 215-6364
Mailing address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-2520
(206) 215-6364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-32919
KS
207Q00000X
Family Medicine Physician
2008008652
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200557330B
—
KS
Enumeration date
01/24/2007
Last updated
10/08/2020
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