Healthcare Provider Details

I. General information

NPI: 1477418622
Provider Name (Legal Business Name): UBAH UGADIR AHMED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11023 SE 204TH ST APT 2
KENT WA
98031-1770
US

IV. Provider business mailing address

11023 SE 204TH ST APT 2
KENT WA
98031-1770
US

V. Phone/Fax

Practice location:
  • Phone: 206-816-0873
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: