Provider Demographics
NPI:1023326394
Name:SAMIEE NEJAD, NIMA (DC)
Entity type:Individual
Prefix:DR
First Name:NIMA
Middle Name:
Last Name:SAMIEE NEJAD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 3RD AVE
Mailing Address - Street 2:STE 180
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-3029
Mailing Address - Country:US
Mailing Address - Phone:206-453-2233
Mailing Address - Fax:206-453-1188
Practice Address - Street 1:1202 2ND AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2926
Practice Address - Country:US
Practice Address - Phone:206-453-2233
Practice Address - Fax:206-453-2233
Is Sole Proprietor?:No
Enumeration Date:2010-09-20
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60175933111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor