Individual provider · NPI-1

Haris Ahmad, D.O.

Family Medicine · Seattle, WA

NPI number1609301878
StatusActive
Last updated in NPPESSep 27, 2021

Details

NPI
1609301878
Entity type
Individual (NPI-1)
Name
Haris Ahmad
Credential
D.O.
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 25, 2017
Certification date
Sep 27, 2021
Last updated
Sep 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineOP61065172WAYes

Practice location

2211 Queen Anne Ave N
Seattle, WA 98109-2367

Phone 206-861-8500 · Fax 206-861-8501

Mailing address

Po Box 25608
Salt Lake City, UT 84125-0608

Phone 206-320-4476 · Fax 206-568-7043

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