Dr Diyan M Raza, MD | |
550 17th Ave Fl 5, Seattle, WA 98122-5788 | |
(206) 320-2800 | |
(206) 320-2827 |
Full Name | Dr Diyan M Raza |
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Gender | Male |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 550 17th Ave Fl 5, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588227946 | NPI | - | NPPES |
2254776 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | MD61430849 (Washington) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 61430849 (Washington) | Primary |
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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Dr Diyan M Raza, MD Po Box 25608, Salt Lake City, UT 84125-0608 Ph: (206) 320-4476 | Dr Diyan M Raza, MD 550 17th Ave Fl 5, Seattle, WA 98122-5788 Ph: (206) 320-2800 |
Peggy Kim, MD, MS, MBA Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 1660 S Columbian Way, Seattle, WA 98108 Phone: 206-277-5177 | |
John David Sinclair, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 155 Ne 100th St, Ste 402, Seattle, WA 98125 Phone: 206-729-4300 Fax: 206-275-3695 | |
Christopher David Merifield, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Broadway Ste 530, Seattle, WA 98122 Phone: 206-386-2013 Fax: 206-386-2149 |