Provider Demographics
NPI:1720566755
Name:AMERICAN INTEGRATED HEALTH
Entity Type:Organization
Organization Name:AMERICAN INTEGRATED HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABAS
Authorized Official - Middle Name:I
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-567-7772
Mailing Address - Street 1:14121 TUKLA INTL BLVD
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98168-4122
Mailing Address - Country:US
Mailing Address - Phone:206-567-7772
Mailing Address - Fax:
Practice Address - Street 1:14121 TUKLA INTL BLVD
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98168-4122
Practice Address - Country:US
Practice Address - Phone:206-567-7772
Practice Address - Fax:206-567-7772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA604208327171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty