Provider Demographics
NPI:1679357388
Name:KHAZOOM, FRANCOIS (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCOIS
Middle Name:
Last Name:KHAZOOM
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 1:1101 MADISON ST STE 900
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1347
Mailing Address - Country:US
Mailing Address - Phone:206-215-6800
Mailing Address - Fax:206-215-6801
Practice Address - Street 1:1101 MADISON ST STE 900
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1347
Practice Address - Country:US
Practice Address - Phone:206-215-6800
Practice Address - Fax:206-215-6801
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-23
Last Update Date:2024-07-08
Deactivation Date:2024-03-27
Deactivation Code:
Reactivation Date:2024-07-08
Provider Licenses
StateLicense IDTaxonomies
WAMD61435181208600000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2264726Medicaid