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

MD Med Spa PLLC

Organization Family Medicine Physician · NPI 1962392936

MD Med Spa PLLC is a Family Medicine Physician in Redmond, Washington. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4018 16th Ave NE
Redmond, WA 98052
Phone: (425) 307-6727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1962392936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dhirendra Kumar — Owner · (425) 307-6727
NPI enumeratedJuly 9, 2025
Last updated in NPPESJuly 9, 2025
Certification dateJune 24, 2025
Mailing address4018 16th Ave Ne, Redmond, WA 98052

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