Ahmed Hamed Mosallam, MD, PHD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

60730025 Issued in WA

Practice address

1959 NE Pacific St
Seattle, WA 98195-2814

Phone

(425) 443-7669

NPI assigned

Apr 11, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1477086908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 N NORTHGATE WAY",
            "address_2": "APT 303D",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981332819",
            "telephone_number": "425-443-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981952814",
            "telephone_number": "425-443-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSALLAM",
        "first_name": "AHMED",
        "middle_name": "HAMED",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "60730025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Morton, ARNP
• Thomas Morton Jr., DDS, MSD
• Audrey Michiko Moruzzi, MD
• Samuel Morvant
• Mosaic Natural Family Medicine, PLLC
• Ann Marie Mosbacher, NP-C
• Miriam Mosbacher, MOT, OTR/L
• Meghan Mosbo
• Delton Lionel Mosby, MSW, MPH, CDP
• Vincent S Mosca, M.D.

• Hematology & Oncology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Hematology & Oncology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.