Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Taimur Ikram

Individual provider Family Nurse Practitioner · NPI 1437832565

Taimur Ikram is a Nurse Practitioner in Lakewood, Washington. Qualified in 2022, 4 years ago. Practices with MSO Washington Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2023
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Practice location Address checks out

4901 108th St SW
Lakewood, WA 98499-3724
Phone: (253) 584-3577
Fax: (253) 984-1079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2023019467 (WA)

Record details

NPI number1437832565
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 7, 2023
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023
Mailing addressPo Box 98745, Lakewood, WA 98496-8745

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mso Washington Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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