Mrs Sujata C Poisson, MD | |
400 S 43rd St, Renton, WA 98055 | |
(425) 656-5566 | |
(425) 656-5567 |
Full Name | Mrs Sujata C Poisson |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Neurology |
Location | 400 S 43rd St, Renton, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245394170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD00031741 (Washington) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | MD00031741 (Washington) | Primary |
Entity Name | Valley Medical Group-renton |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sujata C Poisson, MD 3600 Lind Ave Sw, Suite 100 Attn Credentialing, Renton, WA 98057-4970 Ph: (425) 690-2715 | Mrs Sujata C Poisson, MD 400 S 43rd St, Renton, WA 98055 Ph: (425) 656-5566 |
Don Q. Thai, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3915 Talbot Rd S, Ste 104, Renton, WA 98055 Phone: 425-917-6218 Fax: 425-917-6287 | |
Nam H Nguyen, D.O Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4445 Talbot Rd S, Renton, WA 98055 Phone: 425-656-4055 Fax: 425-656-5425 | |
Wojciech Gryc, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-690-3585 Fax: 425-690-9585 | |
Dr. Ali Sultan-qurraie, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-656-5566 Fax: 425-656-5567 | |
Shamim Hashemi Nejad, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4445 Talbot Rd S, Renton, WA 98055 Phone: 425-690-3414 Fax: 425-690-9414 | |
Jeannie C Hu, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 912 N 1st St, Renton, WA 98057 Phone: 425-207-3798 | |
Dr. Patricia Jane Barnes, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 600 Oakesdale Ave Sw, #104, Renton, WA 98057 Phone: 425-228-5336 Fax: 425-228-4540 |