NAVID DAVID MALAKOUTI (NPI# 1437578051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437578051 |
| Entity Type | Individual |
| Full Name | NAVID DAVID MALAKOUTI |
| Credential | M.D. |
| Practice Address |
15906 Mill Creek Blvd Mill Creek WA 98012-1797 |
| Mailing Address |
2041 Georgia Ave Nw Ste 2107 Washington DC 20060-0001 |
| Practice Telephone | 4253852009 |
| Practice Fax Number | 4259390807 |
| Mailing Telephone | 2028656725 |
| Mailing Fax Number | 2028651757 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2020-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD60916736 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
15906 MILL CREEK BLVD |
| City | MILL CREEK |
| State | WA |
| Zip Code | 98012-1797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720367 | Michael Stephen Mallahan | Audiologist | 15906 Mill Creek Blvd, Suite 102, Mill Creek, WA 98012-1797 | 2005-06-15 |
| 1063862605 | Masha Mobbley | Nurse Practitioner | 15906 Mill Creek Blvd, Mill Creek, WA 98012-1797 | 2016-06-14 |
| 1942646336 | Stella Han In | Physical Therapist | 15906 Mill Creek Blvd, #106, Mill Creek, WA 98012-1797 | 2013-05-13 |
| 1295005809 | Katelyn Ann Rowland | Nurse Practitioner | 15906 Mill Creek Blvd, Ste 105, Mill Creek, WA 98012-1797 | 2012-01-12 |
| 1104115963 | Sowmya Ravi Jeyamohan | Dermatology | 15906 Mill Creek Blvd, Suite 105, Mill Creek, WA 98012-1797 | 2011-04-01 |
| 1477874311 | Hyunhee Park | Dermatology | 15906 Mill Creek Blvd, Suite 105, Mill Creek, WA 98012-1797 | 2010-06-15 |
| 1548426885 | North Sound Dermatology P.C., Inc. | Dermatology | 15906 Mill Creek Blvd, Suite 105, Mill Creek, WA 98012-1234 | 2008-08-06 |
| 1700050317 | Katrina Bassett | Dermatology | 15906 Mill Creek Blvd, #105, Mill Creek, WA 98012-1797 | 2008-04-15 |
| 1316133655 | Hearing & Balance Lab PC | Audiologist | 15906 Mill Creek Blvd, Suite 102, Mill Creek, WA 98012-1797 | 2007-09-20 |
| 1396887683 | Mary Alice Duhme | Physical Therapist | 15906 Mill Creek Blvd, Suite 106, Mill Creek, WA 98012-1797 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502032 | Malia Van-frances Chase | Behavioral Analyst | 18311 Bothel-everett Hwy, Suite 260, Bothell, Wa, WA 98012 | 2020-09-14 |
| 1154951804 | Thea E Byrne | Physical Therapist | 6030 Bothell Everett Hwy, #140, Mill Creek, WA 98012 | 2020-01-22 |
| 1861975526 | Jenifer Rae Denormandie | Pharmacist | 14529 North Creek Drive Apt B210, Mill Creek, WA 98012 | 2018-09-10 |
| 1780161760 | Azadeh Fariba | Naturopath | 15411 40th Dr Se, Bothell, WA 98012 | 2018-07-23 |
| 1720572902 | Rickey Lee Mcgregor | Counselor | 16300 Mill Creek Blvd, Suite 204, Mill Creek, WA 98012 | 2018-06-20 |
| 1306349865 | Rudi Lauren Romaine | Behavioral Analyst | 18311 Bothell-everett Hwy, Suite 260, Bothell, WA 98012 | 2018-03-12 |
| 1164961025 | Wickler Behavioral Consulting | Behavioral Analyst | 632 182nd Street Se, Bothell, WA 98012 | 2017-02-13 |
| 1588026413 | Nathan Earl Crawford | Massage Therapist | 18930 Bothell Everett Hwy, D302, Bothell, WA 98012 | 2016-03-21 |
| 1144618083 | Jocelyn Enabulele | Counselor | 19105 Waxen Road, Bothell, WA 98012 | 2014-12-30 |
| 1124426846 | Teeth R Us | Dentist | 1908 201 Pl Se Suite #201, Bothell, WA 98012 | 2014-12-11 |
| Find all providers in zip 98012 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548536972 | Ein Gun Song | Dermatology | 15906 Mill Creek Blvd Ste 105, Mill Creek, WA 98012-1797 | 2012-03-29 |
| 1104115963 | Sowmya Ravi Jeyamohan | Dermatology | 15906 Mill Creek Blvd, Suite 105, Mill Creek, WA 98012-1797 | 2011-04-01 |
| 1477874311 | Hyunhee Park | Dermatology | 15906 Mill Creek Blvd, Suite 105, Mill Creek, WA 98012-1797 | 2010-06-15 |
| 1548426885 | North Sound Dermatology P.C., Inc. | Dermatology | 15906 Mill Creek Blvd, Suite 105, Mill Creek, WA 98012-1234 | 2008-08-06 |
| 1700050317 | Katrina Bassett | Dermatology | 15906 Mill Creek Blvd, #105, Mill Creek, WA 98012-1797 | 2008-04-15 |
| 1982705158 | Dieter Kurt Thomas Schmidt | Dermatology | 15906 Mill Creek Blvd, Ste 105, Mill Creek, WA 98012-1603 | 2006-09-26 |
| 1255303632 | Joy C Wu | Dermatology | 15906 Mill Creek Blvd, Ste 105, Mill Creek, WA 98012-1797 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694864 | Fishers Landing Internal Medicine | Dermatology | 1405 Se 164th Ave Ste 101, Vancouver, WA 98683-9644 | 2020-06-23 |
| 1417599374 | Dermatology Solutions | Dermatology | 8503 W Clearwater Ave Ste B, Kennewick, WA 99336-3100 | 2019-10-11 |
| 1588164925 | Northwest Pediatric Dermatology, Pllc | Dermatology | 703 Lilly Rd Ne Ste 105, Olympia, WA 98506-5191 | 2018-02-12 |
| 1255858247 | Ame Phitwong | Dermatology | 21727 76th Ave W Ste H, Edmonds, WA 98026-7549 | 2017-08-29 |
| 1467879320 | Jayasri Iyer | Dermatology | 9924 Ne 185th St Ste 215, Bothell, WA 98011-3504 | 2014-03-27 |
| 1164869459 | Kaley Myer | Dermatology | 304 W Bay Dr Nw Ste 301, Olympia, WA 98502-4957 | 2013-05-28 |
| 1093158305 | Erica Shantha Tarabadkar | Dermatology | 850 Republican Street, Brotman Room 242, Uw Medical Center At Lake Union, Seattle, WA 98109 | 2013-04-17 |
| 1871835322 | Jason Lee Meeker | Dermatology | 2622 S. Meridian, Puyallup, WA 98373-1500 | 2013-03-22 |
| 1578839494 | Carolina Andrea Simunovic | Dermatology | 1959 Ne Pacific St Rm Bb-1353, Box 356524, Seattle, WA 98195-6524 | 2012-03-25 |
| 1184999260 | April Schachtel | Dermatology | 1660 S Columbian Way Va Puget Sound Health Care System, General Internal Medicine Clinic, Seattle, WA 98108 | 2012-03-21 |
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| City | MILL CREEK |
| Zip Code | 98012 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.