Healthcare Provider Details

I. General information

NPI: 1215490446
Provider Name (Legal Business Name): PARISA ROSE KHALIGHI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2019
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 9TH AVE
SEATTLE WA
98101-2756
US

IV. Provider business mailing address

1100 9TH AVE X8-GYN
SEATTLE WA
98101
US

V. Phone/Fax

Practice location:
  • Phone: 206-223-6191
  • Fax:
Mailing address:
  • Phone: 206-223-6191
  • Fax: 206-625-7274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTL.0007742
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMD61414374
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: