Individual
NISHA AHIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11724 NE 195TH STREET, SUITE #100, BOTHELL, WA 98011
(425) 318-3100
(425) 318-3101
Mailing address
11724 NE 195TH STREET, SUITE #100, BOTHELL, WA 98011
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
260759
MA
208000000X
Pediatrics Physician
BF4649604A541
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2010
Last updated
11/21/2022
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