Aeisha Bhatti Adnan, PA

Individual provider Active NPI Physician Assistant · Bellevue, WA

NPI 1134439540 · NPPES record last updated Oct 19, 2010

Key facts

NPI
1134439540
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
PA60191275 (WA)
Practice address
1135 116TH Ave NE
Suite 620
Bellevue, WA 98004-4623
Phone
(425) 454-8016
Fax
(425) 453-2827
NPI assigned
Oct 19, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA60191275WAMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60191275 WA Yes

Addresses

Primary practice location

1135 116TH Ave NE
Suite 620
Bellevue, WA 98004-4623

Mailing address

11416 NE 128TH St
Apt. 67
Kirkland, WA 98034-6397
Phone (425) 213-0955

Other providers in Bellevue, WA

All providers in Bellevue, WA · Physician Assistant in Washington

Sources for this page

Verify at the official NPI Registry.