MEDICARE: DR. JAVAD ABBAS SAJAN M.D.,

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	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	60430545	WA
2	2086S0122X	Plastic and Reconstructive Surgery Physician	60430545	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679717748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAVAD ABBAS SAJAN M.D.,

Provider Business Mailing Address
First Line	:	1455 NW LEARY WAY STE 449
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-5124
Country	:	US
Telephone Number	:	206-209-0988
Fax Number	:

Provider Business Practice Location Address
First Line	:	1455 NW LEARY WAY
Second Line	:	SUITE 449
City	:	SEATTLE
State	:	WA
Zip	:	98107-5124
Country	:	US
Telephone Number	:	206-209-0988
Fax Number	:

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

Provider Enumeration Date	:	04/20/2009
Last Update Date	:	09/29/2017

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