Provider Demographics
NPI:1033245865
Name:KOREISHI, AASHIYANA FARUK (MD)
Entity type:Individual
Prefix:DR
First Name:AASHIYANA
Middle Name:FARUK
Last Name:KOREISHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12501 E MARGINAL WAY S STE 200
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98168-5163
Mailing Address - Country:US
Mailing Address - Phone:844-344-4209
Mailing Address - Fax:
Practice Address - Street 1:1001 KLICKITAT WAY SW SUITE 205
Practice Address - Street 2:PSIP
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98134
Practice Address - Country:US
Practice Address - Phone:206-622-7747
Practice Address - Fax:206-467-1470
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAL-221244207ZP0102X
NY246048207ZP0102X
WA60085890207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology