Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | MD00042316 | WA |
NPI | 1144267873 |
---|---|
Provider Name | Dr. Elahe A Mostaghel |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 20/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8455040 | (05) | WA |
I52946 | (02) |