Mahmood Albahhar, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

FE60449492 Issued in WA

Practice address

4245 Roosevelt Way NE Box 354755
University of Washington Medical Center
Seattle, WA 98105

Phone

(206) 598-6868

Fax

(206) 598-2847

NPI assigned

May 12, 2015

Reactivated

Jan 19, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1437537354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 ROOSEVELT WAY NE BOX 354755",
            "address_2": "UNIVERSITY OF WASHINGTON MEDICAL CENTER",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98105",
            "telephone_number": "206-598-6868",
            "fax_number": "206-598-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 ROOSEVELT WAY NE BOX 354755",
            "address_2": "UNIVERSITY OF WASHINGTON MEDICAL CENTER",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98105",
            "telephone_number": "206-598-6868",
            "fax_number": "206-598-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBAHHAR",
        "first_name": "MAHMOOD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2016-01-21",
        "deactivation_date": "2015-12-21",
        "reactivation_date": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "FE60449492",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "WA",
            "license": "FE60449492",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "WA",
            "license": "FE60449492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber L Alawine, SUDPT
• Adam Alayli
• Yasmeen Jordan Alayli, MEDICAL STUDENT
• Nicholas Westra Alba, LMP, NMT
• Rachael J Alba, LMHC
• Alejandro Albarran Montoya, DDS
• Sarah Alaura Albaum
• Nazire Ece Albayrak
• Teri Albee-Olsen, D.P.T.
• Bernard J Alberda, M.D.

• Diagnostic Radiology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.