Basic Information
Provider Information
NPI: 1184762833
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HONARI
FirstName: JAMSHID
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 34584
Address2:  
City: SEATTLE
State: WA
PostalCode: 981241584
CountryCode: US
TelephoneNumber: 5092417349
FaxNumber: 5092417628
Practice Location
Address1: 125 16TH AVE E
Address2:  
City: SEATTLE
State: WA
PostalCode: 981125211
CountryCode: US
TelephoneNumber: 2063263000
FaxNumber: 2063262785
Other Information
ProviderEnumerationDate: 02/02/2007
LastUpdateDate: 07/09/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300XMD00010611WAY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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