Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD00032913 | WA |
Y | 111NI0900X | Internist | MD00032913 | WA |
N | 207RH0000X | Hematologist | MD00032913 | WA |
N | 207RI0200X | Infectious Disease | MD00032913 | WA |
NPI | 1215046032 |
---|---|
Provider Name | Mohammad Saleem Memon |
First Address | Seattle, WA 98101-2742 |
Second Address | Seattle, WA 98101-2742 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 27/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0261902 | STATE L&I (01) | WA |
F88133 | (02) | WA |