NPI | 1275166282 |
---|---|
Former Legal Business Name | LAKE WASHINGTON INTERNAL MEDICINE PLLC |
Doing Business As | ELITE MEDICINE, AESTHETICS & REJUVENATION PLLC |
Entity Type | Organization |
Authorized Contact | MONA SHAWKY, MD Dr/CEO 206-858-2617 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2020-02-18 |
Last Update Date | 2022-07-25 |