Provider Demographics
NPI:1073839965
Name:RASHIDI, LAILA (MD)
Entity Type:Individual
Prefix:
First Name:LAILA
Middle Name:
Last Name:RASHIDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 MADISON, SUITE 510
Mailing Address - Street 2:SWEDISH COLON AND RECTAL CLINIC
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104
Mailing Address - Country:US
Mailing Address - Phone:206-386-6600
Mailing Address - Fax:206-386-2452
Practice Address - Street 1:3124 S 19TH ST STE C220
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-2481
Practice Address - Country:US
Practice Address - Phone:253-301-6885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-16
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60528567208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery