Vaziri, Kamyar
Vaziri, Kamyar is an individual health care provider with primary practice located at 9230 Sky Island Dr E Fl 2 , Bonney Lake WA 98391-7385. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Vaziri, Kamyar can be contacted via phone (253) 750-6110.Contact Information
Primary practice address
9230 Sky Island Dr E Fl 2
Bonney Lake WA 98391-7385
Phone: (253) 750-6110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD60886183 | Washington |
Profile Details
| NPI number | 1760844708 |
|---|---|
| LBN Legal business name | Vaziri, Kamyar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2016 |
| Last updated | Jan 18th, 2021 - about 5 years ago |
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 | 1760844708 | NPPES |
| Washington | MEDICAID | 2076944 |
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