Basic Information
| Provider Information | |||||||||
| NPI: | 1285090126 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAKHAI | ||||||||
| FirstName: | NEHA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2101 E YESLER WAY | ||||||||
| Address2: | STE 210 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981225959 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4109553080 | ||||||||
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| Practice Location | |||||||||
| Address1: | 600 NORTH WOLFE STREET | ||||||||
| Address2: | THE JOHNS HOPKINS HOSPITAL | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212872109 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4109555000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/07/2016 | ||||||||
| LastUpdateDate: | 07/16/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/16/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD61060244 | WA | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.