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Individual

PAUL G KASSAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6395
(206) 223-6764
Mailing address
1100 9TH AVE, MS M4-PFS, SEATTLE, WA 98101-2756
(206) 583-6025
(206) 515-5886

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
221960
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0034096
NEIGHBORHOOD HEALTH PLAN
01
1802310
HEALTHSOURCE
MA
01
1802310
CIGNA
01
2084091
NEIGHBORHOOD HEALTH PLAN
01
3459KA
BLUE SHIELD VM
WA
01
467611
TUFTS TOTAL HEALTH PLAN
01
74918
CHILDREN'S MED. SECURITY
05
8496986
WA
01
AA19366
HARVARD PILGRIM
01
J28241
BLUE SHIELD INDEMNITY
01
P00444050
RAILROAD MC # VM
WA
Enumeration date
06/30/2005
Last updated
06/19/2009
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