Provider Demographics
NPI:1134439540
Name:ADNAN, AEISHA BHATTI (PA)
Entity type:Individual
Prefix:
First Name:AEISHA
Middle Name:BHATTI
Last Name:ADNAN
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11416 NE 128TH ST
Mailing Address - Street 2:APT. 67
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-6397
Mailing Address - Country:US
Mailing Address - Phone:425-213-0955
Mailing Address - Fax:425-453-2827
Practice Address - Street 1:1135 116TH AVE NE
Practice Address - Street 2:SUITE 620
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-4623
Practice Address - Country:US
Practice Address - Phone:425-454-8016
Practice Address - Fax:425-453-2827
Is Sole Proprietor?:No
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAPA60191275363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant