Healthcare Provider Details

I. General information

NPI: 1457298622
Provider Name (Legal Business Name): M MAHDI AL GHEZI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 356421
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

PO BOX 356421
SEATTLE WA
98195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 425-246-9667
  • Fax:
Mailing address:
  • Phone: 206-543-3605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: