MEDICARE: DR. BASSIM M DOWIDAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD00046057	WA

General Provider Information

NPI Number	:	1164474243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BASSIM M DOWIDAR MD

Provider Business Mailing Address
First Line	:	PO BOX 84026
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-8426
Country	:	US
Telephone Number	:	206-320-2111
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 17TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-5711
Country	:	US
Telephone Number	:	206-320-2111
Fax Number	:	206-320-3396

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	02/06/2009

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Directions to “ DR. BASSIM M DOWIDAR MD” Practice Location

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