Provider Demographics
NPI: | 1083883896 |
---|---|
Name: | PERLMAN, SETH JAVIER (MD) |
Entity type: | Individual |
Prefix: | DR |
First Name: | SETH |
Middle Name: | JAVIER |
Last Name: | PERLMAN |
Suffix: | |
Gender: | M |
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 5371 |
Mailing Address - Street 2: | MS 504 |
Mailing Address - City: | SEATTLE |
Mailing Address - State: | WA |
Mailing Address - Zip Code: | 98145 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 206-987-2000 |
Mailing Address - Fax: | 206-985-3114 |
Practice Address - Street 1: | 4800 SAND POINT WAY NE |
Practice Address - Street 2: | |
Practice Address - City: | SEATTLE |
Practice Address - State: | WA |
Practice Address - Zip Code: | 98105-3901 |
Practice Address - Country: | US |
Practice Address - Phone: | 206-987-2000 |
Practice Address - Fax: | 206-985-3114 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2008-02-26 |
Last Update Date: | 2019-10-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
IA | MD-41022 | 2084N0008X |
WA | MD60938414 | 2084N0008X, 2084N0402X |
IA | 41022 | 2084N0402X |
MO | 2011007124 | 2084N0402X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2084N0402X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology with Special Qualifications in Child Neurology |
No | 2084N0008X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neuromuscular Medicine |