MEDICARE: JOSEPH DOUMIT, MD, PLLC

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	2084P0800X	Psychiatry Physician	MD60232889	WA

General Provider Information

NPI Number	:	1891151031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH DOUMIT, MD, PLLC

Provider Business Mailing Address
First Line	:	625 32ND AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-6335
Country	:	US
Telephone Number	:	425-354-3723
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 32ND AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-6335
Country	:	US
Telephone Number	:	425-354-3723
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEPH R DOUMIT
Credential	:	MD
Telephone Number	:	206-226-2228

Provider Enumeration Date	:	01/04/2016
Last Update Date	:	01/04/2016

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