Provider Demographics
NPI:1578363198
Name:AMADI AESTHETICS MEDSPA PLLC
Entity type:Organization
Organization Name:AMADI AESTHETICS MEDSPA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARASH
Authorized Official - Middle Name:JIAN
Authorized Official - Last Name:AMADI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-769-3118
Mailing Address - Street 1:7800 SE 27TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-3087
Mailing Address - Country:US
Mailing Address - Phone:206-216-4500
Mailing Address - Fax:206-216-4501
Practice Address - Street 1:7800 SE 27TH ST STE 100
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-3087
Practice Address - Country:US
Practice Address - Phone:062-164-5002
Practice Address - Fax:206-216-4501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive SurgeryGroup - Multi-Specialty