Provider Demographics
NPI:1518346949
Name:ABASAEED, RANIA
Entity Type:Individual
Prefix:
First Name:RANIA
Middle Name:
Last Name:ABASAEED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC ST # B316
Mailing Address - Street 2:BOX 356370
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6370
Mailing Address - Country:US
Mailing Address - Phone:206-543-3194
Mailing Address - Fax:206-685-8412
Practice Address - Street 1:1959 NE PACIFIC ST # B316
Practice Address - Street 2:BOX 356370
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-6370
Practice Address - Country:US
Practice Address - Phone:206-543-3194
Practice Address - Fax:206-685-8412
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADR605618171223X0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology