Basic Information
Provider Information
NPI: 1679887152
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SEYIDOV
FirstName: NABIL
MiddleName: ZABIL
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1959 NE PACIFIC STR.
Address2: UNIVERSITY OF WASHINGTON, DEPARTMENT OF SURGERY
City: SEATTLE
State: WA
PostalCode: 981956410
CountryCode: US
TelephoneNumber: 2065433687
FaxNumber:  
Practice Location
Address1: 1959 NE PACIFIC STR.
Address2: UNIVERSITY OF WASHINGTON, DEPARTMENT OF SURGERY
City: SEATTLE
State: WA
PostalCode: 981956410
CountryCode: US
TelephoneNumber: 2065433687
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/27/2010
LastUpdateDate: 05/09/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XP25486MDN Allopathic & Osteopathic PhysiciansInternal Medicine 
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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