Poonam Rauniyar, MD | |
4112 Harbour Pointe Blvd Sw, Ste 100, Mukilteo, WA 98275-5457 | |
(425) 347-6330 | |
(425) 347-6335 |
Full Name | Poonam Rauniyar |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4112 Harbour Pointe Blvd Sw, Mukilteo, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366602468 | NPI | - | NPPES |
MD00048601 | Other | WA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD00048601 (Washington) | Primary |
Entity Name | Providence Health & Services- Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
Mailing Address | Practice Location Address |
---|---|
Poonam Rauniyar, MD Po Box 3360, Portland, OR 97208-3360 Ph: (866) 366-2983 | Poonam Rauniyar, MD 4112 Harbour Pointe Blvd Sw, Ste 100, Mukilteo, WA 98275-5457 Ph: (425) 347-6330 |
Tessa Commers, Pediatrics Medicare: Medicare Enrolled Practice Location: 4430 106th St Sw Ste 102, Mukilteo, WA 98275 Phone: 425-493-6000 Fax: 425-493-6015 | |
Megan Alysa Beaumont, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4430 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6002 Fax: 425-493-6015 | |
Sabrina Middleton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4112 Harbour Pointe Blvd Sw, Ste 100, Mukilteo, WA 98275 Phone: 425-347-6330 Fax: 425-347-6335 | |
Deborah L Zaret, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6002 | |
Scott Warren Fetty, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 11700 Mukilteo Speedway Ste 201-1142, Mukilteo, WA 98275 Phone: 206-719-4791 | |
Dr. Fatima Nadia Malik, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4430 106th St Sw Ste 102, Mukilteo, WA 98275 Phone: 425-493-6000 Fax: 425-493-6015 |