MEDICARE: MILAD MOTALEBI KASHANI DPM

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	PO61382678	WA

General Provider Information

NPI Number	:	1851929475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILAD MOTALEBI KASHANI DPM

Provider Business Mailing Address
First Line	:	600 BROADWAY STE 220
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-5373
Country	:	US
Telephone Number	:	206-344-3808
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 BROADWAY STE 220
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-5373
Country	:	US
Telephone Number	:	206-344-3808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2020
Last Update Date	:	03/13/2026

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