Provider Demographics
NPI:1831381219
Name:AFRIDI, SEEMA (MD)
Entity type:Individual
Prefix:
First Name:SEEMA
Middle Name:
Last Name:AFRIDI
Suffix:
Gender:F
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 5096
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98227-5096
Mailing Address - Country:US
Mailing Address - Phone:360-788-6870
Mailing Address - Fax:360-788-6872
Practice Address - Street 1:710 BIRCHWOOD AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1720
Practice Address - Country:US
Practice Address - Phone:360-788-6870
Practice Address - Fax:360-788-6872
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAML20008837208000000X
WAMD602773802084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA183138129OtherREGENCE
WA1831381219Medicaid
WA1831381219OtherTRI-WEST
WA1831381219OtherUNIVORM MEDICAL
AKMD9855WMedicaid
WA0296365OtherL&I AND CRIME VICTIMS