Provider Demographics
NPI:1083213441
Name:SEID, MOHAMMED ADEM
Entity Type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:ADEM
Last Name:SEID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16704 31ST AVE S APT 226
Mailing Address - Street 2:
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98188-3111
Mailing Address - Country:US
Mailing Address - Phone:425-499-9923
Mailing Address - Fax:
Practice Address - Street 1:16704 31ST AVE S APT 226
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188-3111
Practice Address - Country:US
Practice Address - Phone:425-499-9923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-18
Last Update Date:2020-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA3928171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty