Healthcare Provider Details

I. General information

NPI: 1295271526
Provider Name (Legal Business Name): KAREEM JAMANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2017
Last Update Date: 07/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 EASTLAKE AVE E
SEATTLE WA
98109
US

IV. Provider business mailing address

825 EASTLAKE AVE E
SEATTLE WA
98109
US

V. Phone/Fax

Practice location:
  • Phone: 206-288-6956
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number016733
License Number StateZZ
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberFE60707645
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: