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Individual

SARA JAVID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1959 NE PACIFIC ST, BOX 356410-DEPT SURGERY, SEATTLE, WA 98195-0001
(206) 221-2958
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD60026202
WA
2086X0206X
Surgical Oncology Physician
Primary
MD60026202
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0238860
L AND I
WA
05
1730297052
WA
Enumeration date
08/27/2006
Last updated
09/26/2011
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