Healthcare Provider Details

I. General information

NPI: 1578467833
Provider Name (Legal Business Name): SAID AHMAD SADAAT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22412 104TH AVE SE
KENT WA
98031-4254
US

IV. Provider business mailing address

22412 104TH AVE SE
KENT WA
98031-4254
US

V. Phone/Fax

Practice location:
  • Phone: 206-380-7039
  • Fax:
Mailing address:
  • Phone: 206-380-7039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: