Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD60226675 | WA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 29818 | ZZ |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD60226675 | WA |
NPI | 1699066530 |
---|---|
Provider Name | Hossein Pakzad Sedigh |
First Address | Tacoma, WA 98405-2433 |
Second Address | Tacoma, WA 98405-2433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2011 |
Last Update Date | 23/02/2012 |