Healthcare Provider Details

I. General information

NPI: 1134294754
Provider Name (Legal Business Name): KAISERA JAMIL ZUBAIR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAISERA JAMIL M.D.

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 11/29/2024
Certification Date: 12/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2475 140TH AVE. NE BUILDING C
BELLEVUE WA
98005
US

IV. Provider business mailing address

2475 140TH AVE. NE BUILDING C
BELLEVUE WA
98005
US

V. Phone/Fax

Practice location:
  • Phone: 425-828-2257
  • Fax: 425-896-7034
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD00035587
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: