Healthcare Provider Details

I. General information

NPI: 1942940283
Provider Name (Legal Business Name): FARZANEH FARHADI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4225 ROOSEVELT WAY NE FL 3
SEATTLE WA
98105-6099
US

IV. Provider business mailing address

1959 NE PACIFIC ST BOX 356560
SEATTLE WA
98195-6560
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-7792
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD61572058
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: