Healthcare Provider Details

I. General information

NPI: 1588040836
Provider Name (Legal Business Name): SEATTLE FACE AND SKIN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2015
Last Update Date: 05/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W. GALER ST
SEATTLE WA
98119
US

IV. Provider business mailing address

200 W. GALER ST
SEATTLE WA
98119
US

V. Phone/Fax

Practice location:
  • Phone: 206-599-3223
  • Fax:
Mailing address:
  • Phone: 206-599-3223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License NumberMD00048531
License Number StateWA

VIII. Authorized Official

Name: DR. AMIT BHRANY
Title or Position: PARTNER
Credential: M.D.
Phone: 206-650-2255