Provider Demographics
NPI:1821078379
Name:ALSEIDI, ADNAN ALI (MD)
Entity Type:Individual
Prefix:DR
First Name:ADNAN
Middle Name:ALI
Last Name:ALSEIDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 PARNASSUS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2202
Mailing Address - Country:US
Mailing Address - Phone:206-515-5811
Mailing Address - Fax:
Practice Address - Street 1:1100 9TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2756
Practice Address - Country:US
Practice Address - Phone:206-341-0060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010008190208600000X
CAC167415208600000X
WAMD60221749208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0283224OtherDEPT OF LABOR AND INDUSTRIES
WA1821078379Medicaid
WA1821078379OtherMONTANA DSHS
WAP01248168OtherRAILROAD MEDICARE
WA8902656Medicare PIN
WA1821078379Medicaid
WA8912822Medicare PIN