Basic Information
| Provider Information | |||||||||
| NPI: | 1023336559 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BHATTI | ||||||||
| FirstName: | RUBBIYA | ||||||||
| MiddleName: | ASIM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1100 9TH AVE | ||||||||
| Address2: | M4-PFS | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981012756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2065155811 | ||||||||
| FaxNumber: | 2063410274 | ||||||||
| Practice Location | |||||||||
| Address1: | 11800 NE 128TH ST STE 300 | ||||||||
| Address2: | |||||||||
| City: | KIRKLAND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980347211 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4258145100 | ||||||||
| FaxNumber: | 4258145103 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2010 | ||||||||
| LastUpdateDate: | 09/12/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 35-122806 | OH | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD60672238 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1841239274 | 01 | OH | PARTNERS PHYSICIAN GROUP TYPE 2 NPI # | OTHER | 1821035940 | 01 | OH | AKRON GENERAL TYPE 2 NPI # | OTHER | 0290886 | 01 | OH | AKRON GENERAL CENTER FOR FAMILY MEDICINE GROUP MEDICAID # | OTHER | 3600271 | 01 | OH | AKRON GENERAL CENTER FOR FAMILY MEDICINE GROUP MEDICARE # | OTHER |