Healthcare Provider Details

I. General information

NPI: 1134530330
Provider Name (Legal Business Name): SAAD ELRAHMANY MBBCH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2014
Last Update Date: 08/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 JEFFERSON ST
SEATTLE WA
98104-2433
US

IV. Provider business mailing address

PO BOX 50095
SEATTLE WA
98145-5095
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-9340
  • Fax:
Mailing address:
  • Phone: 206-520-5307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberTR60438023
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberTR60438023
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: