Individual
NASIMA K VIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 NE GILMAN BLVD, ISSAQUAH, WA 98027-2925
(425) 557-8000
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00039166
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR & INDUSTRY
WA
05
—
8271264
—
WA
01
—
8642VI
BLUE SHIELD
WA
01
—
8889318
PTAN - SNO CO
WA
01
—
US2437914
AETNA/USHC PCP
WA
01
—
US2437928
AETNA/USHC SPECIALIST
WA
Enumeration date
08/23/2006
Last updated
03/23/2010
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