Healthcare Provider Details

I. General information

NPI: 1710698592
Provider Name (Legal Business Name): NAKISBENDIMD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2022
Last Update Date: 12/30/2022
Certification Date: 12/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 112TH AVE NE STE C228
BELLEVUE WA
98004-3773
US

IV. Provider business mailing address

522 W RIVERSIDE AVE STE N
SPOKANE WA
99201-0580
US

V. Phone/Fax

Practice location:
  • Phone: 206-984-3894
  • Fax:
Mailing address:
  • Phone: 206-984-3894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KARA MUNIRA NAKISBENDI
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 610-220-1634