Davoudimoghaddam, Samaneh
Davoudimoghaddam, Samaneh is an individual health care provider with primary practice located at 4300 Talbot Rd S Ste 300 , Renton WA 98055-6238. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Davoudimoghaddam, Samaneh can be contacted via phone (425) 228-6262.Contact Information
Primary practice address
4300 Talbot Rd S Ste 300
Renton WA 98055-6238
Phone: (425) 228-6262
Fax: (425) 228-6260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | WA61387239 | Washington |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | WA61387239 | Washington |
Profile Details
| NPI number | 1073036612 |
|---|---|
| LBN Legal business name | Davoudimoghaddam, Samaneh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2017 |
| Last updated | Jul 1st, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073036612 | NPPES |
| Washington | MEDICAID | 2246367 |
Popular Providers
-
Fung, Kenneth H
4300 Talbot Rd S Ste 300 , Renton WA 98055-6238 -
Mckevitt, Silvia Speidel
4300 Talbot Rd S Suite 311, Renton WA 98055-6238 -
Dohoda, Richard S.
3915 Talbot Rd S Ste 100, Renton WA 98055-5738 -
Ridgeley, Jamison R
1412 Sw 43Rd St Suite 206, Renton WA 98057 -
Phillips, Christopher Burton
17800 Talbot Rd S , Renton WA 98055-5740 -
Cubanski, Jeanne Y
3915 Talbot Rd S Ste 100, Renton WA 98055 -
Waxman, Michael D.
4300 Talbot Rd S Ste 300 , Renton WA 98055-6238 -
King, Joseph Walter
900 Sw 16Th St Ste 200 , Renton WA 98057-2631