Nooshin Aflakian, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Yakima, WA
NPI 1073200499 · NPPES record last updated Sep 29, 2023
Key facts
- NPI
- 1073200499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- ML61429533 (WA)
- Practice address
- 1806 W Lincoln Ave
Yakima, WA 98902-2473 - Phone
- (509) 452-4520
- NPI assigned
- Apr 18, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231012003417 | WA | Order and Referring Only - Family Practice |
6608221510 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | ML61429533 | WA | Yes |
Addresses
Primary practice location
1806 W Lincoln Ave
Yakima, WA 98902-2473
Mailing address
501 S 5TH Ave
Yakima, WA 98902-3550
Phone (509) 853-1082
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2255530 | Medicaid | WA |
Other providers in Yakima, WA
- Advanced Podiatry Specialists PS
- Advanced Prosthetic & Orthotic Center, Inc
- Aed Advocates, Inc
- Aegis Physical Therapy Inc. PS
- Aesthetics Verduzco PLLC
- Emilie Christina Afualo
- Ruby Aguilar
- Ruby L Aguilar
- Stephanie Cindee Aguilar
- Alyssa Moriah Aguilera
All providers in Yakima, WA · Student in an Organized Health Care Education/Training Program in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.