Provider Demographics
NPI:1417272139
Name:SAYYAR ROUDSARI, BAHMAN (MD MPH PHD)
Entity Type:Individual
Prefix:DR
First Name:BAHMAN
Middle Name:
Last Name:SAYYAR ROUDSARI
Suffix:
Gender:M
Credentials:MD MPH PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 GASTON AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2017
Mailing Address - Country:US
Mailing Address - Phone:214-826-8822
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC ST # NW011
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-7115
Practice Address - Country:US
Practice Address - Phone:206-598-6483
Practice Address - Fax:206-598-8475
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAML601640432085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology