MEDICARE: DANIEL ALAN SALEVITZ

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	2088P0231X	Pediatric Urology Physician	MD.61665454	WA
2	208800000X	Urology Physician	64532	AZ

General Provider Information

NPI Number	:	1740819796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL ALAN SALEVITZ

Provider Business Mailing Address
First Line	:	4800 SAND POINT WAY NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98105-3901
Country	:	US
Telephone Number	:	206-987-0694
Fax Number	:	206-985-3155

Provider Business Practice Location Address
First Line	:	4800 SAND POINT WAY NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98105-3901
Country	:	US
Telephone Number	:	206-987-0694
Fax Number	:	206-985-3155

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

Provider Enumeration Date	:	04/02/2020
Last Update Date	:	12/09/2025

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