Individual
NAZIR AHMED BALOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 228-3440
(425) 656-4214
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
26219
OK
207R00000X
Internal Medicine Physician
MD60851134
WA
208M00000X
Hospitalist Physician
26219
OK
208M00000X
Hospitalist Physician
Primary
MD60851134
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200219350A
—
OK
05
—
2105738
—
WA
Enumeration date
11/17/2008
Last updated
08/17/2021
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