Healthcare Provider Details

I. General information

NPI: 1942643440
Provider Name (Legal Business Name): SOMAYYEH SADAT SABET M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2013
Last Update Date: 09/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1536 N 115TH ST STE 330
SEATTLE WA
98133-8425
US

IV. Provider business mailing address

1536 N 115TH ST STE 330
SEATTLE WA
98133-8425
US

V. Phone/Fax

Practice location:
  • Phone: 206-365-0111
  • Fax: 206-365-2980
Mailing address:
  • Phone: 206-365-0111
  • Fax: 206-365-2980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License NumberMD.60750935
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: