Basic Information
Provider Information
NPI: 1447593314
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NABAR
FirstName: SEAN
MiddleName: JUSTIN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1229 MADISON ST
Address2: STE 1440
City: SEATTLE
State: WA
PostalCode: 981043538
CountryCode: US
TelephoneNumber: 6177328218
FaxNumber:  
Practice Location
Address1: 1229 MADISON ST STE 1440
Address2:  
City: SEATTLE
State: WA
PostalCode: 981043538
CountryCode: US
TelephoneNumber: 6177328218
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/29/2013
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XMD60759264WAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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