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NPI Code Detail

MEDICARE: SEATTLE ENDOCRINE PLLC

MEDICARE: SEATTLE ENDOCRINE PLLC
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 Physician

General Provider Information

NPI Number : 1568160158
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEATTLE ENDOCRINE PLLC
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 : 833-471-4795
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 : 833-471-4795
Authorized Official
Title or Position : PRESIDENT
Name : MAHNAZ MELLATI
Credential : M.D.
Telephone Number : 206-796-3636
Provider Enumeration Date : 02/22/2023
Last Update Date : 10/09/2024

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Directions to “SEATTLE ENDOCRINE PLLC ” Practice Location

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