Individual
MOHAMED ALASSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 MADISON ST, STE 1401, SEATTLE, WA 98104-3588
(206) 386-6700
(206) 386-6706
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD60693493
WA
2086X0206X
Surgical Oncology Physician
23169
WV
2086X0206X
Surgical Oncology Physician
ME106619
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002392800
—
FL
05
—
189567306C
—
GA
05
—
189567306E(JHF)
—
GA
05
—
281173106
—
FL
01
—
558254
WELLCARE
FL
01
—
9357554
CIGNA
FL
Enumeration date
08/22/2006
Last updated
04/05/2021
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