Organization
RAZAN R AL-KUDSI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAZAN R AL KUDSI MD (OWNER)
(206) 242-8837
Entity
Organization
Contact information
Practice address
16259 SYLVESTER RD SW, SUITE 401, BURIEN, WA 98166-3049
(206) 242-8837
Mailing address
16259 SYLVESTER RD SW, #401, BURIEN, WA 98166-3049
(206) 242-8837
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00028577
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073238
—
WA
01
—
110061080
RR MEDICARE
WA
Enumeration date
07/23/2006
Last updated
05/12/2014
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