Amidi, Arezou

Amidi, Arezou is an individual health care provider with primary practice located at 1550 S Pioneer Way Ste 300 , Moses Lake WA 98837-4637. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Amidi, Arezou can be contacted via phone (509) 793-9783.

Contact Information

Primary practice address
1550 S Pioneer Way Ste 300 Moses Lake WA 98837-4637
Fax: (509) 764-3253
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO60793680 Washington

Profile Details

NPI number 1992144398
LBN Legal business name Amidi, Arezou
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2013
Last updated Apr 27th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992144398 NPPES
Washington MEDICAID 2088625

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