| NPI | 1831166354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHEELA SADIQ Member LLC 253-223-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00037438) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: WA MD00037438) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: WA 602069905) | |
| 207R00000X Internal Medicine (Licence: WA 602069905) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2010-07-08 |