Most Relevant Information
Provider Data
NPI Number: | 1003250317 |
Provider Name: | BAHAR MANSOORI MD |
Entity Type: | Individual |
Taxonomy Code: | 2085R0202X |
Specialty: | Radiology |
License Number: | MD60968336 |
Most Important Dates
Enumeration Date: | 04/18/2013 |
Last Updated: | 09/11/2019 |
Provider Practice Location
1959 NE PACIFIC ST
SEATTLE
WA
98195
Practice Location Phone/Fax
Phone: | 2065205000 |
Fax: |
Provider Mailing Location
PO BOX 50095
SEATTLE
WA
981455095
Provider Mailing Phone/Fax
Phone: | 2065205700 |
Fax: |