Individual
TAJU ALI AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12738 SE 173RD PL, RENTON, WA 98058-6034
(206) 409-8266
Mailing address
12738 SE 173RD PL, RENTON, WA 98058-6034
(206) 409-8266
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MA2525
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA2525
DSHS AUTHORIZAION
WA
01
—
SA1904
DSHS AUTHORIZATIONS
WA
Enumeration date
09/18/2020
Last updated
09/18/2020
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