| Doctor Name: | AYESHA NASRULLAH |
| NPI Number: | 1033566740 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | ML60648381 |
| Business Practice Address: | 1959 North Pacific Street Box 357115 University Of Washington Dept Of Radiology Seattle, WA - 98195 |
| Business Phone Number: | 2065988571 |
| Business Fax Number: | |
| Mailing Address: | 1959 North Pacific Street, Box 357115 University Of Washington Dept Of Radiology SEATTLE |
| State: | WA |
| Postal Code: | 98195 |
| Phone Number: | 2065988571 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2016 |
| NPI Last Update Date: | 05/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | ML60648381 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |