Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD072057L | PA |
NPI | 1073512141 |
---|---|
Provider Name | Dr. Sharmila Ahmed |
First Address | Seattle, WA 98104-1306 |
Second Address | Seattle, WA 98104-1306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 05/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01952261 | (05) | PA |
BA7465998 | FEDERAL DEA REG. NUMBER (01) | PA |
H86535 | (02) | PA |
MD072057L | MEDICAL LIC NUMBER (01) | PA |