Provider Demographics
NPI:1184442063
Name:WASEEM, ZANAB
Entity type:Individual
Prefix:
First Name:ZANAB
Middle Name:
Last Name:WASEEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 108TH ST SE UNIT B
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-7016
Mailing Address - Country:US
Mailing Address - Phone:425-625-9535
Mailing Address - Fax:844-961-0333
Practice Address - Street 1:10634 E RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3757
Practice Address - Country:US
Practice Address - Phone:206-934-9110
Practice Address - Fax:844-961-0333
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMDCE.ML.616042342084P0800X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice