Drsidsiahpushpsychiatrist Llc | |
12025 115th Ave Ne Ste 200 Kirkland WA 98034-6935 | |
(425) 821-1810 | |
(425) 823-1231 |
Full Name | Drsidsiahpushpsychiatrist Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 12025 115th Ave Ne Ste 200, Kirkland, Washington |
Authorized Official Name and Position | Sid H Siahpush (EMPLOYEE) |
Authorized Official Contact | 4258211810 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Drsidsiahpushpsychiatrist Llc 12025 115th Ave Ne Ste 200 Kirkland WA 98034-6935 Ph: (425) 821-1810 | Drsidsiahpushpsychiatrist Llc 12025 115th Ave Ne Ste 200 Kirkland WA 98034-6935 Ph: (425) 821-1810 |
NPI Number | 1962173179 |
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Provider Enumeration Date | 09/27/2021 |
Last Update Date | 09/27/2021 |
Certification Date | 09/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962173179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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