Healthcare Provider Details

I. General information

NPI: 1205730454
Provider Name (Legal Business Name): ANJALI PATEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12333 NE 130TH LN STE 400
KIRKLAND WA
98034-7467
US

IV. Provider business mailing address

12333 NE 130TH LN STE 400
KIRKLAND WA
98034-7467
US

V. Phone/Fax

Practice location:
  • Phone: 425-544-2000
  • Fax: 425-544-2001
Mailing address:
  • Phone: 425-544-2000
  • Fax: 425-544-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: