Basic Information
| Provider Information | |||||||||
| NPI: | 1659784916 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | THAZYEEN | ||||||||
| FirstName: | AAMERA | ||||||||
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| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11808 NORTHUP WAY STE W300 | ||||||||
| Address2: | |||||||||
| City: | BELLEVUE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980051938 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4252841547 | ||||||||
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| Practice Location | |||||||||
| Address1: | 11808 NORTHUP WAY STE W300 | ||||||||
| Address2: | |||||||||
| City: | BELLEVUE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980051938 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4252841547 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2014 | ||||||||
| LastUpdateDate: | 11/05/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207L00000X | MD60846837 | WA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.