Berjis, Reza Roy

Berjis, Reza Roy is an individual health care provider with primary practice located at 10555 Se Carr Rd , Renton WA 98055-5820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Berjis, Reza Roy can be contacted via phone (425) 656-4270.

Contact Information

Primary practice address
10555 Se Carr Rd Renton WA 98055-5820
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11650 Nevada
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD6069869 Washington

Profile Details

NPI number 1285607606
LBN Legal business name Berjis, Reza Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Aug 17th, 2021 - about 3 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 1285607606 NPPES
Nevada MEDICAID 1285607606
Nevada MEDICAID 2073553

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