Provider Demographics
NPI:1568160158
Name:SEATTLE ENDOCRINE PLLC
Entity Type:Organization
Organization Name:SEATTLE ENDOCRINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAHNAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:MELLATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-855-6067
Mailing Address - Street 1:737 OLIVE WAY APT 3305
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-3759
Mailing Address - Country:US
Mailing Address - Phone:801-855-6067
Mailing Address - Fax:206-593-2032
Practice Address - Street 1:1201 2ND AVE STE 900
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-3020
Practice Address - Country:US
Practice Address - Phone:801-855-6067
Practice Address - Fax:206-593-2032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty