Provider Demographics
NPI:1700016391
Name:NORSWORTHY, NILUFER B (MD)
Entity Type:Individual
Prefix:
First Name:NILUFER
Middle Name:B
Last Name:NORSWORTHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NILUFER
Other - Middle Name:B
Other - Last Name:BOZDEMIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2829 140TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1826
Mailing Address - Country:US
Mailing Address - Phone:713-868-8006
Mailing Address - Fax:
Practice Address - Street 1:1560 N 115TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8414
Practice Address - Country:US
Practice Address - Phone:206-368-1244
Practice Address - Fax:206-368-1270
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD 60092323261QI0500X, 261Q00000X, 282N00000X, 261QM2500X
WAMD60092323207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No282N00000XHospitalsGeneral Acute Care Hospital
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMD 60092323OtherSTATE LICENCE
WAMD 60092323OtherSTATE LICENCE