Individual
AMIR BESHARAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
550 17TH AVE STE 540, SEATTLE, WA 98122-4470
(206) 386-3880
(206) 386-3882
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OP60840126
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105107
—
WA
Enumeration date
06/09/2014
Last updated
10/15/2024
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