Provider Demographics
NPI:1326304007
Name:ABHAT, ANSHU RIA
Entity Type:Individual
Prefix:
First Name:ANSHU
Middle Name:RIA
Last Name:ABHAT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 PINE BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-1750
Mailing Address - Country:US
Mailing Address - Phone:626-351-8508
Mailing Address - Fax:360-358-9885
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:BOX 359892
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2420
Practice Address - Country:US
Practice Address - Phone:206-744-9700
Practice Address - Fax:206-744-8516
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-06
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60289578207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine