Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | MD00036272 | WA |
NPI | 1104963198 |
---|---|
Provider Name | Soheil Meshinchi |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98109-4433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 04/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0231559 | L&I (01) | WA |
1104963198 | (05) | WA |
H22932 | (02) | WA |