Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | A71734 | CA |
Y | 207VX0201X | Gynecologic Oncologist | MD00046799 | WA |
NPI | 1447281605 |
---|---|
Provider Name | Bahman Saffari |
First Address | Tacoma, WA 98405-5016 |
Second Address | Tacoma, WA 98405-5016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 05/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0246028 | L&I (01) | WA |
8464414 | (05) | WA |
8950422 | CRIME VICTIMS (01) | WA |
G8879331 | MEDICARE (01) | WA |
P00716846 | RAILROAD (01) | WA |