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NPI Code Detail

MEDICARE: MAHNAZ MELLATI M.D.

MEDICARE: MAHNAZ MELLATI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism PhysicianMD 60443675WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326331513
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAHNAZ MELLATI M.D.
Provider Business Mailing Address
First Line : 1101 MADISON ST STE 1270
Second Line :
City : SEATTLE
State : WA
Zip : 98104-3554
Country : US
Telephone Number : 206-796-3636
Fax Number :
Provider Business Practice Location Address
First Line : 1101 MADISON ST STE 1270
Second Line :
City : SEATTLE
State : WA
Zip : 98104-3554
Country : US
Telephone Number : 206-796-3636
Fax Number : 334-714-7958
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2011
Last Update Date : 10/09/2024

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Directions to “ MAHNAZ MELLATI M.D.” Practice Location

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