Healthcare Provider Details

I. General information

NPI: 1548884828
Provider Name (Legal Business Name): MICHAEL SEIDMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2020
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 MADISON ST STE 401
SEATTLE WA
98104-1172
US

IV. Provider business mailing address

805 MADISON ST STE 401
SEATTLE WA
98104-1172
US

V. Phone/Fax

Practice location:
  • Phone: 206-467-6300
  • Fax: 206-467-6301
Mailing address:
  • Phone: 206-467-6300
  • Fax: 206-467-6301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD70125182
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberLL84298
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberDR.0073146
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0073146
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: