Most Relevant Information
Provider Data
| NPI Number: | 1003670415 |
| Provider Name: | MUQDASA SADAT NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 61471756 |
Most Important Dates
| Enumeration Date: | 02/07/2024 |
| Last Updated: | 02/07/2024 |
Provider Practice Location
24920 104TH AVE SE
KENT
WA
980306443
Practice Location Phone/Fax
| Phone: | 4256903420 |
| Fax: |
Provider Mailing Location
15429 141ST PL SE
RENTON
WA
980586363
Provider Mailing Phone/Fax
| Phone: | 4253726319 |
| Fax: |