Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bellevue OBGYN LLC

Organization Obstetrics & Gynecology Physician · NPI 1104124247

Bellevue OBGYN LLC is an Obstetrics & Gynecology Physician in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2011.

Licensed in
WA
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1515 116th Ave NE 205
Bellevue, WA 98004-3811
Phone: (425) 698-1588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD60122545 (WA)

Record details

NPI number1104124247
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Fan — Member · (425) 698-1588
NPI enumeratedMarch 13, 2011
Last updated in NPPESAugust 10, 2012
Mailing address1515 116th Ave Ne, Suite 205, Bellevue, WA 98004-3811

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