Stephane, Massoud
Stephane, Massoud is an individual health care provider with primary practice located at 4030 Lake Washington Blvd Ne Ste 303 , Kirkland WA 98033-7870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Stephane, Massoud can be contacted via phone (253) 752-7320.Contact Information
Primary practice address
4030 Lake Washington Blvd Ne Ste 303
Kirkland WA 98033-7870
Phone: (253) 752-7320
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D0052816 | Maryland |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD61413485 | Washington |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01077111A | Indiana |
Profile Details
| NPI number | 1508941204 |
|---|---|
| LBN Legal business name | Stephane, Massoud |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | May 5th, 2023 - about 2 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 | 1508941204 | NPPES |
| Indiana | MEDICAID | 201369440 |
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