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MR. PEZHMAN AHMADI
NPI 1104517564
Student in an Organized Health Care Education/Training Program in Tukwila, WA

Active since May 17, 2023
13030 MILITARY RD S FL 2, TUKWILA, WA 98168(206) 839-3600 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2024, May 18, 2023 (2 updates tracked since 2023).

About Mr. Pezhman Ahmadi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PEZHMAN AHMADI (NPI 1104517564) is an individual student in an organized health care education/training program in Tukwila, Washington, licensed in Washington (PR61549434) and active in the NPI registry since May 2023. He maintains a secondary practice location in Frederiksted.

NPPES Registry Identity

NPI1104517564
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. PEZHMAN AHMADI
Location Address13030 MILITARY RD S FL 2Tukwila, WA 98168-3085
Mailing Address1203 N 10th Pl Apt 1323Renton, WA 98057-5467 · (831) 710-5987
Phone(206) 839-3600
Sole ProprietorYes
Enumeration DateMay 17, 2023
Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1104517564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in WA · PR61549434
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
13030 MILITARY RD S FL 2, Tukwila, WA 98168
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Secondary Practice Location 1

Location 1516 Strand StFrederiksted, VI 00840-3533 · Phone (340) 772-0260 ext. 2106 · Fax (866) 373-9926

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BITA TARIGHI DDS
Student in an Organized Health Care Education/Training Program
13030 MILITARY RD S FL 2
TUKWILA, WA 98168
King County (206) 839-3600
OSAMA ALABBADI
Student in an Organized Health Care Education/Training Program
13030 MILITARY RD S FL 2
TUKWILA, WA 98168
King County (206) 839-3600
CHUN WAI WILSON LAI DDS
Student in an Organized Health Care Education/Training Program
13030 MILITARY RD S FL 2
TUKWILA, WA 98168
King County (206) 439-3289
MALLORY J ZEMBOWER
Student in an Organized Health Care Education/Training Program
13030 MILITARY RD S FL 2
TUKWILA, WA 98168
King County (206) 439-3289

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pezhman Ahmadi's NPI number?

The NPI number for Pezhman Ahmadi is 1104517564. It was assigned to this individual provider in the NPPES registry on May 17, 2023.

Where is Pezhman Ahmadi located?

Pezhman Ahmadi practices at 13030 Military Rd S Fl 2, Tukwila, WA 98168. The listed phone number is (206) 839-3600.

What is Pezhman Ahmadi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Pezhman Ahmadi was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.