Individual
DAVID BEHNAM KHATAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
12112 115TH AVE NE STE B, KIRKLAND, WA 98034-6958
(425) 821-3472
(425) 820-4115
Mailing address
PO BOX 94624, SEATTLE, WA 98124-6924
(800) 634-4064
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.059524
IL
2085R0202X
Diagnostic Radiology Physician
261062
MA
2085R0202X
Diagnostic Radiology Physician
Primary
MD60818531
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD60818531
STATE LICENSE
WA
Enumeration date
06/16/2011
Last updated
04/01/2020
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