Alexander E Abdullayev, MD | |
525 Lilly Rd Ne Ste 200, Olympia, WA 98506-5101 | |
(360) 493-4510 | |
(360) 493-7759 |
Full Name | Alexander E Abdullayev |
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Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 525 Lilly Rd Ne Ste 200, Olympia, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1538693015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD61575406 (Washington) | Primary |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Entity Name | Swedish Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689612954 PECOS PAC ID: 0244138196 Enrollment ID: O20031230000187 |
Mailing Address | Practice Location Address |
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Alexander E Abdullayev, MD Po Box 3360, Portland, OR 97208-3360 Ph: (206) 320-4476 | Alexander E Abdullayev, MD 525 Lilly Rd Ne Ste 200, Olympia, WA 98506-5101 Ph: (360) 493-4510 |
Jennifer M Abelson, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 525 Lilly Rd Ne Ste 200, Olympia, WA 98506 Phone: 360-493-4510 Fax: 360-493-7759 | |
Nicole Kimberly Jackson, DO Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 525 Lilly Rd Ne Ste 200, Olympia, WA 98506 Phone: 360-493-4510 Fax: 360-493-7759 |