Healthcare Provider Details

I. General information

NPI: 1568387454
Provider Name (Legal Business Name): MONIKA SAMI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 STATE ROUTE 20
SEDRO WOOLLEY WA
98284-4322
US

IV. Provider business mailing address

140 ASHLEY ST APT 103
BELLINGHAM WA
98229-2945
US

V. Phone/Fax

Practice location:
  • Phone: 360-757-7738
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number61584303
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: