Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | TR60989456 | WA |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | TR60989456 | WA |
NPI | 1831533207 |
---|---|
Provider Name | Dr. Adam A Albaba |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2013 |
Last Update Date | 15/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1831533207 | (05) | WA |