Individual
OSAID W SAQQA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 MINOR AVE STE 300, SEATTLE, WA 98104-2133
(206) 320-6565
(206) 386-9648
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61337876
WA
207RN0300X
Nephrology Physician
Primary
MD61337876
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2254737
—
WA
Enumeration date
04/19/2018
Last updated
09/28/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us