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
-
Ko, George J
4300 Talbot Rd S Suite 300, Renton WA 98055-6238 -
Wesson, Matthew
3353 N Gloster St , Tupelo MS 38804-9735 -
Dohoda, Richard S.
3915 Talbot Rd S Ste 100, Renton WA 98055-5738 -
Iwanyk, Eugene
1300 Sw 7Th St Suite 105, Renton WA 98057-5225 -
Ryser, David F
2251 Dubois Dr , Warsaw IN 46580-3212 -
Armesto, David M
2025 Technology Pkwy Ste 103, Mechanicsburg PA 17050-9400 -
Cubanski, Jeanne Y
3915 Talbot Rd S Ste 100, Renton WA 98055 -
Ridgeley, Jamison R
1412 Sw 43Rd St Suite 206, Renton WA 98057