Provider Demographics
| NPI: | 1083883896 |
|---|---|
| Name: | PERLMAN, SETH JAVIER (MD) |
| Entity type: | Individual |
| Prefix: | DR |
| First Name: | SETH |
| Middle Name: | JAVIER |
| Last Name: | PERLMAN |
| Suffix: | |
| Gender: | M |
| Credentials: | MD |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | PO BOX 5371 |
| Mailing Address - Street 2: | MS 504 |
| Mailing Address - City: | SEATTLE |
| Mailing Address - State: | WA |
| Mailing Address - Zip Code: | 98145 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 206-987-2000 |
| Mailing Address - Fax: | 206-985-3114 |
| Practice Address - Street 1: | 4800 SAND POINT WAY NE |
| Practice Address - Street 2: | |
| Practice Address - City: | SEATTLE |
| Practice Address - State: | WA |
| Practice Address - Zip Code: | 98105-3901 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 206-987-2000 |
| Practice Address - Fax: | 206-985-3114 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2008-02-26 |
| Last Update Date: | 2019-10-26 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| IA | MD-41022 | 2084N0008X |
| WA | MD60938414 | 2084N0008X, 2084N0402X |
| IA | 41022 | 2084N0402X |
| MO | 2011007124 | 2084N0402X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 2084N0402X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology with Special Qualifications in Child Neurology |
| No | 2084N0008X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neuromuscular Medicine |