Provider Demographics
NPI:1275640179
Name:BARZDINS, ATIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ATIS
Middle Name:
Last Name:BARZDINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 SW 16TH ST
Mailing Address - Street 2:SUITE #100
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-2631
Mailing Address - Country:US
Mailing Address - Phone:425-204-7480
Mailing Address - Fax:425-204-7482
Practice Address - Street 1:1101 MADISON ST STE 301
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3599
Practice Address - Country:US
Practice Address - Phone:206-505-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60197472207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI00628Medicare UPIN
WAME94820Medicare PIN