Dr. Ata S Moshiri
Dermatologist Dermatopathologist
4225 Roosevelt Way Ne Fl 4
Seattle
, Washington 98105-6099
Dr. Ata S Moshiri
Dermatologist Dermatopathologist
4225 Roosevelt Way Ne Fl 4
Seattle
, Washington 98105-6099
(206) 520-5700
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About
Features
Specialties
- Dermatologist
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Dr. Ata S Moshiri
- Po Box 50095
- Seattle, WA
- Zip : 98145-5095
- Phone : (206) 520-5700
Second Address
- Dr. Ata S Moshiri
- 4225 Roosevelt Way Ne Fl 4
- Seattle, WA
- Zip : 98105-6099
- Phone : (206) 598-2267
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Is Dr. Ata S Moshiri a sole practitioner?
Is Dr. Ata S Moshiri accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | MD60949822 | WA |
| Y | 207ND0900X | Dermatopathologist | MD60949822 | WA |
National Provider Identifier
| NPI | 1619394780 |
|---|---|
| Provider Name | Dr. Ata S Moshiri |
| First Address | Seattle, WA 98145-5095 |
| Second Address | Seattle, WA 98105-6099 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/03/2014 |
| Last Update Date | 30/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1619394780 | (05) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.