NPI 1124655709

Amir Rezayat, MD

Practitioner Family Medicine Physician Des Moines, WA

Practice location

Address: 26401 Pacific Hwy S STE 101, Des Moines, WA 98198-9247
Phone: (206) 870-3590
Mailing address: 955 Powell Ave SW, Renton, WA 98057-2908

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD61325248 (WA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1124655709
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Mar 2020
Record last updated: 16 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.