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NPI Code Detail

MEDICARE: LAITH EMAD ABANDEH MD

MEDICARE:   LAITH EMAD ABANDEH  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
12085P0229XPediatric Radiology PhysicianMD61314952WA
22085R0202XDiagnostic Radiology PhysicianMD61314952WA
32085N0904XNuclear Radiology PhysicianMD61314952WA
4207U00000XNuclear Medicine PhysicianMD61314952WA
5208000000XPediatrics PhysicianMD61314952WA

General Provider Information

NPI Number : 1609404243
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAITH EMAD ABANDEH MD
Provider Business Mailing Address
First Line : PO BOX 50095
Second Line :
City : SEATTLE
State : WA
Zip : 98145-5095
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1959 NE PACIFIC ST
Second Line :
City : SEATTLE
State : WA
Zip : 98195-0001
Country : US
Telephone Number : 206-616-5781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2020
Last Update Date : 03/18/2026

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Directions to “ LAITH EMAD ABANDEH MD” Practice Location

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