Provider Demographics
NPI:1770728750
Name:ART OF MEDICINE PLLC
Entity type:Organization
Organization Name:ART OF MEDICINE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:PARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KHARBAT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:509-432-5053
Mailing Address - Street 1:1230 NE HICKMAN CT
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-5617
Mailing Address - Country:US
Mailing Address - Phone:509-432-5053
Mailing Address - Fax:
Practice Address - Street 1:1230 NE HICKMAN CT
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-5617
Practice Address - Country:US
Practice Address - Phone:509-432-5053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty