Provider Demographics
NPI:1699082909
Name:ARIA ENDOCRINOLOGY
Entity type:Organization
Organization Name:ARIA ENDOCRINOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/ENDOCRINOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:FARIDEH
Authorized Official - Middle Name:
Authorized Official - Last Name:ESKANDARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-260-5218
Mailing Address - Street 1:11313 NE 61ST PL
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-7226
Mailing Address - Country:US
Mailing Address - Phone:425-260-5218
Mailing Address - Fax:425-242-5429
Practice Address - Street 1:12303 NE 130TH LANE, SUITE 400
Practice Address - Street 2:EVERGREEN PROFESSIONAL CENTER
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034
Practice Address - Country:US
Practice Address - Phone:425-260-5218
Practice Address - Fax:425-242-5429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-08
Last Update Date:2010-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD 00048717207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8869034Medicare PIN