OVERLAKE COLON & RECTAL CLINIC PLLC NPI 1063688273

NPI Information

OVERLAKE COLON & RECTAL CLINIC, PLLC is a colon rectal surgery in Bellevue, WA. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. OVERLAKE COLON & RECTAL CLINIC, PLLC NPI is 1063688273. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1135 116TH AVE NE
SUITE 190
BELLEVUE, WA
ZIP 98004-623
Phone: (425) 646-7400
Fax: (425) 646-7449

The provider's authorized official is Mitra Ehsan .
The authorized official title is Owner and has the following contact phone number (206) 669-7639.

The enumeration date for this NPI number is 5/7/2008 and was last updated on 9/4/2019.

Taxonomy Codes

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Other Identifiers

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