Provider Demographics
NPI:1942171475
Name:FAM, NARIMAN EZZAT HENNAWY A
Entity type:Individual
Prefix:
First Name:NARIMAN
Middle Name:EZZAT HENNAWY A
Last Name:FAM
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 1:1707 MERRILL CREEK PKWY APT 1002
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-7112
Mailing Address - Country:US
Mailing Address - Phone:801-680-5328
Mailing Address - Fax:
Practice Address - Street 1:1707 MERRILL CREEK PKWY APT 1002
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-7112
Practice Address - Country:US
Practice Address - Phone:801-680-5328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter