Mr. Pezhman Ahmadi
Student in an Organized Health Care Education/Training Program in Tukwila, Washington
1104517564- Practice location
- 13030 Military RD S Fl 2, Tukwila, WA 98168-3085
- Phone
- 206-839-3600
- Fax
- —
- Last updated
- July 30, 2024
Pezhman Ahmadi is a Student in an Organized Health Care Education/Training Program based in Tukwila, WA. Pezhman Ahmadi practices in Tukwila, WA. The NPI Number for Pezhman Ahmadi is 1104517564 and holds a License No. PR61549434 (WA). The current practice location address for Pezhman Ahmadi is 13030 Military RD S Fl 2, Tukwila, WA 98168-3085 and can be reached out via phone at 206-839-3600.
Provider Profile Details
- NPI Number
- 1104517564
- Provider Name
- Pezhman Ahmadi
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 13030 Military RD S Fl 2, Tukwila, WA 98168-3085
- Phone Number
- 206-839-3600
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 17, 2023
- Last Update Date
- July 30, 2024
- Certification Date
- July 30, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 13030 Military RD S Fl 2
Tukwila, WA 98168-3085 - City
- Tukwila
- State
- Washington
- Zip
- 98168-3085
- Phone Number
- 206-839-3600
Provider Business Mailing Address Details
- Address
- 1203 N 10TH Pl Apt 1323
Renton, WA 98057-5467 - City
- Renton
- State
- WA
- Zip
- 98057-5467
- Phone Number
- 831-710-5987
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- PR61549434
- License State (2)
- WA
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Tukwila, WA
View all Student in an Organized Health Care Education/Training Program providers in Tukwila →- Anna BrownePeer Specialist · NPI 1457265589
- Ms. Faiza S Abu, RNRegistered Nurse · NPI 1972000370
- Aida AcevedoBehavior Technician · NPI 1982594404
- Mr. Ryan D Akin, BS, RCCounselor, Professional · NPI 1942455092
- Mrs. Boualoy M Abando, LMPMassage Therapist · NPI 1205039153
- Stephen Achuff, ARNPNurse Practitioner, Acute Care · NPI 1700924461
Frequently Asked Questions
What is the NPI number of Mr. Pezhman Ahmadi?
The NPI number of Mr. Pezhman Ahmadi is 1104517564. It was assigned on May 17, 2023 and is currently active in the NPPES registry.
What is the specialty of Mr. Pezhman Ahmadi?
Mr. Pezhman Ahmadi is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in WA under license number PR61549434.
Where does Mr. Pezhman Ahmadi practice?
The practice location is 13030 Military RD S Fl 2, Tukwila, WA 98168-3085. The office can be reached at 206-839-3600 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104517564 directly on the NPPES registry website.