Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | TR60561553 | WA |
NPI | 1720491491 |
---|---|
Provider Name | Dr. Megan Mojgan Zare |
First Address | Seattle, WA 98125-6258 |
Second Address | Seattle, WA 98104-2420 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2014 |
Last Update Date | 25/07/2015 |