Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | MD00048531 | WA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD00048531 | WA |
NPI | 1043223514 |
---|---|
Provider Name | Amit D Bhrany |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-6340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 20/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0237399 | L&I (01) | WA |
1043223514 | (05) | WA |