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Individual

DR. ATA ALIJANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
Mailing address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
A100708
CA
2085N0700X
Neuroradiology Physician
MD190076
OR
2085R0202X
Diagnostic Radiology Physician
A100708
CA
2085R0202X
Diagnostic Radiology Physician
MD190076
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD60507050
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0339463
LNI-DIAGNOSTIC IMAGING NW
WA
01
0362601
LNI-TRA-MINW-REST OF WA
WA
01
0362603
LNI-TRA-MINW-KING CTY
WA
01
0365616
LNI-UNION AVE OPEN MRI
WA
05
2040820
WA
Enumeration date
07/26/2007
Last updated
08/29/2024
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