Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | MD00016163 | WA |
NPI | 1205916103 |
---|---|
Provider Name | Hisham K Tamimi |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 27/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0232030 | L&I (01) | WA |
1205916103 | (05) | WA |
1479 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
B18134 | (02) |