Individual
DANA R MAHMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-9853
(260) 215-3636
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OP60924399
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922373216
—
WA
Enumeration date
03/20/2012
Last updated
03/11/2019
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