Basic Information
| Provider Information | |||||||||
| NPI: | 1407291230 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MASOOD | ||||||||
| FirstName: | NEHAL | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1003 S 5TH ST | ||||||||
| Address2: | 4TH FLOOR | ||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984054210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2534031677 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1003 S 5TH ST | ||||||||
| Address2: | 4TH FLOOR | ||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984054210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2534031677 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2013 | ||||||||
| LastUpdateDate: | 03/20/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | TP082 | KY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207RH0003X | MD00035475 | WA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
No ID Information.