Healthcare Provider Details

I. General information

NPI: 1235573098
Provider Name (Legal Business Name): JEFFREY PHILIP GUZELIAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2013
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 MADISON ST STE 150
SEATTLE WA
98104-1377
US

IV. Provider business mailing address

9589 E CALEY CIR
ENGLEWOOD CO
80111-5325
US

V. Phone/Fax

Practice location:
  • Phone: 206-215-4385
  • Fax: 206-215-3651
Mailing address:
  • Phone: 303-929-4678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License NumberME164712
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License NumberMD60942728
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME164712
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberDR.0065637
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2026-00672
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD60942728
License Number StateWA
# 7
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberC1-0029750
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: