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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ALI SANEI MOGHADDAM, MD, ABFM, CCFP, MRCS

Active Sole Proprietor

DR. ALI SANEI MOGHADDAM, MD, ABFM, CCFP, MRCS is a Family Medicine healthcare provider located in BLAINE, Washington. NPI 1114502564 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BLAINE, WA

Registration Details

NPI Number
1114502564
Provider Type
Individual
Gender
Male
NPI Issued
Mar 16, 2021 (5.2709216509581 yrs)
Last Updated
Aug 1, 2023
License
MD61075057 (WA)
Sole Proprietor
Yes

Practice Information

Address
5416 SNOW GOOSE LN UNIT 405
BLAINE, WA, 982306316
Browse WA providers · Browse ZIP 98230
Phone
4255159022
Fax
6042005047
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in BLAINE, WA

Name Credential NPI
DR. BRUCE M PEDERSON MD 1316988926
MARTA S KAZYMYRA M.D. 1043319551
ZAFIR AHMED KHAN MD 1104407899
DR. ROMA BHARAT NAGIN M.D. 1588247225
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.