Provider Demographics
NPI:1669353140
Name:SAIDY, ESMATULLAH
Entity type:Individual
Prefix:
First Name:ESMATULLAH
Middle Name:
Last Name:SAIDY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25221 108TH AVE SE APT D403
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-6454
Mailing Address - Country:US
Mailing Address - Phone:253-349-5788
Mailing Address - Fax:
Practice Address - Street 1:25221 108TH AVE SE APT D403
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-6454
Practice Address - Country:US
Practice Address - Phone:253-349-5788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty