Individual
DR. DAVID LEE MAGARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1560 N. 115TH, SEATTLE BREAST CENTER, SEATTLE, WA 98133
(206) 368-1749
(206) 368-1790
Mailing address
10700 MERIDIAN AVE N STE 505, SEATTLE, WA 98133-9030
(206) 365-4100
(206) 368-6898
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00037860
WA
2085R0202X
Diagnostic Radiology Physician
MD45628
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527010
—
TN
01
—
3562MA
REGENCE BLUE SHIELD
—
01
—
4314853
BLUECROSS BLUESHIELD
TN
05
—
8250540
—
WA
Enumeration date
05/09/2006
Last updated
07/21/2022
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