Healthcare Provider Details

I. General information

NPI: 1265752190
Provider Name (Legal Business Name): JASMINE KAUR PARHAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2010
Last Update Date: 11/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10330 MERIDIAN AVE N SUITE 230
SEATTLE WA
98133-9451
US

IV. Provider business mailing address

10330 MERIDIAN AVE N SUITE 230
SEATTLE WA
98133-9451
US

V. Phone/Fax

Practice location:
  • Phone: 206-524-4737
  • Fax:
Mailing address:
  • Phone: 206-524-4737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD60423104
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: