Kassam, Yasmin Badrudin
Kassam, Yasmin Badrudin is an individual health care provider with primary practice located at 11311 Bridgeport Way Sw Ste 100 , Lakewood WA 98499-3096. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Kassam, Yasmin Badrudin can be contacted via phone (253) 985-6490.Contact Information
Primary practice address
11311 Bridgeport Way Sw Ste 100
Lakewood WA 98499-3096
Phone: (253) 985-6490
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 072957 | Georgia |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 032080 | Connecticut |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MD60871380 | Washington |
Profile Details
| NPI number | 1477516854 |
|---|---|
| LBN Legal business name | Kassam, Yasmin Badrudin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Dec 4th, 2020 - about 4 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 | 1477516854 | NPPES |
| South Carolina | MEDICAID | 817753 | |
| South Carolina | Other | SCE1025019 | |
| South Carolina | MEDICAID | 2106702 |
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