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NPI Code Detail

MEDICARE: NASRA MOHAMED

MEDICARE: NASRA MOHAMED
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
1171M00000XCase Manager/Care CoordinatorWA

General Provider Information

NPI Number : 1750234092
Entity Type Code : Individual
Provider Name (Legal Business Name) : NASRA MOHAMED
Provider Business Mailing Address
First Line : 5301 TALBOT RD S APT N101
Second Line :
City : RENTON
State : WA
Zip : 98055-8283
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2133 3RD AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98121-2385
Country : US
Telephone Number : 206-223-3644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2026
Last Update Date : 02/17/2026

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Directions to “ NASRA MOHAMED ” Practice Location

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