Active NPI
Ibrahim Manshad
- Interpreter
- Kent, WA
National Provider Identifier
1053925644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interpreter
- License
- 604078893-001-0001
- Practice address
- 321 E Titus St
Kent, WA 98030-5907 - Phone
- (512) 299-6704
- NPI assigned
- Sep 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interpreter | 171R00000X | 604078893-001-0001 | WA | Primary |
Addresses
Primary practice location
321 E Titus St
Kent, WA 98030-5907
Mailing address
321 E Titus St
Kent, WA 98030-5907
Phone (512) 299-6704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 604078893-001-0001 | WA | MD | Interpreter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1053925644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 E TITUS ST",
"city": "KENT",
"state": "WA",
"postal_code": "980305907",
"telephone_number": "512-299-6704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 E TITUS ST",
"city": "KENT",
"state": "WA",
"postal_code": "980305907",
"telephone_number": "512-299-6704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSHAD",
"first_name": "IBRAHIM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-01",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "171R00000X",
"taxonomy_group": "",
"desc": "Interpreter",
"state": "WA",
"license": "604078893-001-0001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.