Healthcare Provider Details

I. General information

NPI: 1497003917
Provider Name (Legal Business Name): FAWZI SAOUD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2012
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 112TH AVE NE STE 100
BELLEVUE WA
98004-4509
US

IV. Provider business mailing address

1110 112TH AVE NE STE 100
BELLEVUE WA
98004-4509
US

V. Phone/Fax

Practice location:
  • Phone: 425-688-8111
  • Fax:
Mailing address:
  • Phone: 425-688-8111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberMD61490669
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: