Provider Demographics
NPI:1083898209
Name:BOUZA, ALINA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALINA
Middle Name:
Last Name:BOUZA
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 1:11416 SLATER AVE NE
Mailing Address - Street 2:#202 C
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-8827
Mailing Address - Country:US
Mailing Address - Phone:206-393-7111
Mailing Address - Fax:
Practice Address - Street 1:11416 SLATER AVE NE
Practice Address - Street 2:#202 C
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-8827
Practice Address - Country:US
Practice Address - Phone:206-393-7111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-24
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD 601472262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry