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NPI Code Detail

MEDICARE: MR. ARNOLD REMMY OMBATI PA-C

MEDICARE: MR. ARNOLD REMMY OMBATI PA-C
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
1363AS0400XSurgical Physician AssistantPA60698887WA

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 : 1619343936
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ARNOLD REMMY OMBATI PA-C
Provider Business Mailing Address
First Line : 805 MADISON ST
Second Line : SUITE 901
City : SEATTLE
State : WA
Zip : 98104-1172
Country : US
Telephone Number : 206-264-8100
Fax Number :
Provider Business Practice Location Address
First Line : 2409 N 45TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98103-6907
Country : US
Telephone Number : 206-633-8100
Fax Number : 206-633-6107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2015
Last Update Date : 01/06/2026

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