Organization Name: | MANDANA AHMADIAN, MD PLLC |
NPI Number: | 1255519831 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MANDANA AHMADIAN (MD) |
Mailing Address: | 1380 112th Ave Ne Ste 205 Bellevue |
State: | WA US |
Postal Code: | 980043759 |
Phone Number: | 4252890374 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2008 |
NPI Last Update Date: | 02/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD00044876 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |