Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | MD170314 | OR |
Y | 207RH0003X | Hematology & Oncology | MD61000898 | WA |
N | 207RH0003X | Hematology & Oncology | ME87817 | FL |
N | 207RX0202X | Medical Oncology | MD170314 | OR |
N | 207RX0202X | Medical Oncology | ME87817 | FL |
NPI | 1093828311 |
---|---|
Provider Name | Khaled A Tolba |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98109-4405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 05/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1093828311 | (05) | WA |
2669935-00 | (05) | FL |
H03542 | (02) |