Provider Demographics
NPI:1023336559
Name:BHATTI, RUBBIYA ASIM
Entity type:Individual
Prefix:
First Name:RUBBIYA
Middle Name:ASIM
Last Name:BHATTI
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:PO BOX 741515
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90074-1515
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:620 5TH AVE S STE 200
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-6736
Practice Address - Country:US
Practice Address - Phone:425-814-5100
Practice Address - Fax:425-814-5103
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-122806207Q00000X
WAMD60672238207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1841239274OtherPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH0290886OtherAKRON GENERAL CENTER FOR FAMILY MEDICINE GROUP MEDICAID #
OH1821035940OtherAKRON GENERAL TYPE 2 NPI #
OH3600271OtherAKRON GENERAL CENTER FOR FAMILY MEDICINE GROUP MEDICARE #
OH3600271OtherAKRON GENERAL CENTER FOR FAMILY MEDICINE GROUP MEDICARE #