Doctor Name: | MR. ABDULLAH RAHMANI |
NPI Number: | 1053773309 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BS, PA |
License Number: | TA60638390 |
Business Practice Address: | 19020 33rd Ave W Suite 210 Lynnwood, WA - 980364746 |
Business Phone Number: | 4255631500 |
Business Fax Number: | 4255631374 |
Mailing Address: | 19020 33rd Ave W, Suite 210 LYNNWOOD |
State: | WA |
Postal Code: | 980364746 |
Phone Number: | 4255631500 |
Fax Number: | 4255631374 |
NPI Enumeration Date: | 03/25/2016 |
NPI Last Update Date: | 03/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | TA60638390 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |