Individual
DR. AMIR IRAVANI TABRIZIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 EASTLAKE AVE. E., SEATTLE, WA 98109-1023
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
TR61264375
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200077830
—
MO
Enumeration date
11/18/2019
Last updated
03/04/2022
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