DR. YASMIN BADRUDIN KASSAM NPI 1477516854

NPI Information

NPI: 1477516854
Provider Name: DR. YASMIN BADRUDIN KASSAM
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

PECOS Registration: Yes

Address:
11311 BRIDGEPORT WAY SW STE 100
LAKEWOOD, WA
ZIP 98499
Phone: (253) 985-6490
Get Directions

DR. Yasmin Badrudin Kassam is a rheumatology internal medicine in Lakewood, WA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Yasmin Badrudin Kassam NPI is 1477516854. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11311 BRIDGEPORT WAY SW STE 100
LAKEWOOD, WA
ZIP 98499-096
Phone: (253) 985-6490

The NPI 1477516854 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 12/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RR0500X	Internal Medicine	Rheumatology	072957	GEORGIA	No
2	207RR0500X	Internal Medicine	Rheumatology	032080	CONNECTICUT	No
3	207RR0500X	Internal Medicine	Rheumatology	MD60871380	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2106702	MEDICAID	WASHINGTON
2	817753	MEDICAID	SOUTH CAROLINA
3	SCE1025019	OTHER	SOUTH CAROLINA	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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