Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | BP1-0046306 | TX |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | BP30065709 | TX |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD61089889 | WA |
NPI | 1134569148 |
---|---|
Provider Name | Zaid Mohammed Diken |
First Address | Liberty Lake, WA 99019-0421 |
Second Address | Richland, WA 99352-3558 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2013 |
Last Update Date | 30/08/2021 |