Healthcare Provider Details

I. General information

NPI: 1528697521
Provider Name (Legal Business Name): ABHIJEET SATISH NAMJOSHI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4744 41ST AVE SW STE 101
SEATTLE WA
98116-4566
US

IV. Provider business mailing address

4744 41ST AVE SW STE 101
SEATTLE WA
98116-4566
US

V. Phone/Fax

Practice location:
  • Phone: 206-320-5780
  • Fax: 206-320-5794
Mailing address:
  • Phone: 206-386-2550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD61611827
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: