Sumam Marion Abraham, | |
275 Bronson Way Ne, Renton, WA 98056-4030 | |
(425) 235-2800 | |
Not Available |
Full Name | Sumam Marion Abraham |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 275 Bronson Way Ne, 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 |
---|---|---|---|
1003991837 | NPI | - | NPPES |
299190 | Other | INTERNAL ID-MOTOR VEHICLE ID | |
8250128 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00036924 (Washington) | Primary |
Entity Name | Kaiser Foundation Health Plan Of Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Mailing Address | Practice Location Address |
---|---|
Sumam Marion Abraham, 275 Bronson Way Ne, Renton, WA 98056-4030 Ph: (425) 235-2800 | Sumam Marion Abraham, 275 Bronson Way Ne, Renton, WA 98056-4030 Ph: (425) 235-2800 |
Dominique James Nguyen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3915 Talbot Rd S Ste 200, Renton, WA 98055 Phone: 425-690-3400 Fax: 425-690-0600 | |
Dr. Tory John Olsen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-656-4224 | |
Anna Eleanor Goebel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Ne 4th St Ste 105, Renton, WA 98056 Phone: 425-690-3410 Fax: 425-690-9410 | |
John L. Bondi, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3915 Talbot Rd S, Ste 401, Renton, WA 98055 Phone: 425-656-4224 | |
Arkadiy B. Tkachev, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 S Carr Rd, Suite 100, Renton, WA 98055 Phone: 415-227-3700 | |
Daniel L Brelsford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Ne 4th St, Ste 105, Renton, WA 98056 Phone: 425-690-3410 Fax: 425-690-9410 |