Provider Demographics
NPI:1952904807
Name:RHAIDY, AISHA
Entity Type:Individual
Prefix:
First Name:AISHA
Middle Name:
Last Name:RHAIDY
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 1:12232 NE 112TH PL APT B16
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-8800
Mailing Address - Country:US
Mailing Address - Phone:425-802-2351
Mailing Address - Fax:
Practice Address - Street 1:12232 NE 112TH PL APT B16
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-8800
Practice Address - Country:US
Practice Address - Phone:425-802-2351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0273251171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter