Individual
MARIAM ISHAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
550 17TH AVE STE 110, SEATTLE, WA 98122-5789
(206) 320-3470
(206) 320-3471
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD61655947
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2342273
—
WA
Enumeration date
03/28/2018
Last updated
02/23/2026
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