Healthcare Provider Details

I. General information

NPI: 1669384186
Provider Name (Legal Business Name): IRFAN AHMAD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10200 NE 132ND ST
KIRKLAND WA
98034-2831
US

IV. Provider business mailing address

18014 SEAVIEW LN
LEWES DE
19958-2061
US

V. Phone/Fax

Practice location:
  • Phone: 425-821-2000
  • Fax: 425-820-3533
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number70124062
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: