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

MOHAMMED HOSAM ALDIN BACCORA, MD

Active

Nephrology · PUYALLUP, WA

Registration Details

NPI Number
1366567471
Provider Type
Individual
Gender
Male
NPI Issued
Mar 20, 2007 (19.155474160102 yrs)
Last Updated
Dec 21, 2011
Licenses
MD00049133 (WA)
MD00049133 (WA)

Practice Information

Address
1701 3RD ST SE
STE 300
PUYALLUP, WA, 983724511
Browse WA providers · Browse ZIP 98372
Phone
2536974740
Primary Specialty
Nephrology
207RN0300X
Additional Specialty
Internal Medicine

Other Nephrology Providers in PUYALLUP, WA

Name Credential NPI
ZHUOWEI WANG MD 1942240056
SANCAR EKE M.D. 1205094489
SARITHA BOYAPATI MD 1841421500
DR. ANKUSH ASIJA MD 1952742298
SANDHEEP VENKATARAMAN MD 1447602206
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.