Healthcare Provider Details

I. General information

NPI: 1396698734
Provider Name (Legal Business Name): PINKESH SURENDRA KATARIWALA PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 214TH ST SE STE 205
BOTHELL WA
98021
US

IV. Provider business mailing address

1728 W MARINE VIEW DR STE 110
EVERETT WA
98201-2094
US

V. Phone/Fax

Practice location:
  • Phone: 425-420-1657
  • Fax: 425-420-1644
Mailing address:
  • Phone: 425-259-4041
  • Fax: 425-740-4155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA.PA.70083000
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.PA.70083000
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: