Provider Demographics
NPI:1336925445
Name:HEPATITIS EDUCATION PROJECT
Entity Type:Organization
Organization Name:HEPATITIS EDUCATION PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:APOORVA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALLYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-384-3551
Mailing Address - Street 1:1621 S JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-2277
Mailing Address - Country:US
Mailing Address - Phone:206-384-3551
Mailing Address - Fax:
Practice Address - Street 1:1621 S JACKSON ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2277
Practice Address - Country:US
Practice Address - Phone:206-384-3551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health