Healthcare Provider Details

I. General information

NPI: 1417164351
Provider Name (Legal Business Name): AARTHI SUBRAMANI M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AARTHI S MANI M,D

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2475 140TH AVE NE BLDG C
BELLEVUE WA
98005-1892
US

IV. Provider business mailing address

2475 140TH AVE NE BLDG C
BELLEVUE WA
98005-1892
US

V. Phone/Fax

Practice location:
  • Phone: 425-828-2257
  • Fax: 425-896-7034
Mailing address:
  • Phone: 425-828-2257
  • Fax: 425-896-7034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD60080609
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301087765
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: