Anupama Varma Vijay, MD | |
8910 Vernon Rd, Lake Stevens, WA 98258-2400 | |
(425) 397-1700 | |
Not Available |
Full Name | Anupama Varma Vijay |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 8910 Vernon Rd, Lake Stevens, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235240128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ML20008686 (Washington) | Primary |
Entity Name | Optum Care Washington Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
Mailing Address | Practice Location Address |
---|---|
Anupama Varma Vijay, MD Po Box 5127, Everett, WA 98206-5127 Ph: (425) 258-3900 | Anupama Varma Vijay, MD 8910 Vernon Rd, Lake Stevens, WA 98258-2400 Ph: (425) 397-1700 |
Edward Jacobs, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8910 Vernon Rd, Lake Stevens, WA 98258 Phone: 425-335-0966 | |
Ann E Haugen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8910 Vernon Rd, Lake Stevens, WA 98258 Phone: 425-335-0966 | |
Mrs. Katerina Stursova-wolff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8910 Vernon Rd, Lake Stevens, WA 98258 Phone: 425-397-1702 Fax: 425-335-5145 | |
Anna Jain, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8910 Vernon Rd, Lake Stevens, WA 98258 Phone: 425-397-1700 |