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Individual

DR. FARIDA M GHOGHAWALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 874-1668
Mailing address
1100 OLIVE WAY, M4-PFS, SEATTLE, WA 98101-1873
(206) 515-5811

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00046994
WA
207V00000X
Obstetrics & Gynecology Physician
ME0024819
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0255400
L & I
WA
05
8469686
WA
Enumeration date
09/06/2005
Last updated
03/16/2010
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