Healthcare Provider Details

I. General information

NPI: 1538587712
Provider Name (Legal Business Name): AYESHA ASHLEY APPA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2014
Last Update Date: 11/02/2021
Certification Date: 11/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE
SEATTLE WA
98104-2420
US

IV. Provider business mailing address

995 POTRERO, BUILDING 80 6TH FLOOR
SAN FRANCISCO CA
94110
US

V. Phone/Fax

Practice location:
  • Phone: 206-520-5000
  • Fax:
Mailing address:
  • Phone: 628-206-2400
  • Fax: 415-353-8548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberA154797
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD60683985
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: