| Pablo R Proano Md Ps | |
|
1229 Madison St Ste 1210 Seattle WA 98104-3586 | |
| (206) 386-3103 | |
| (206) 386-3123 |
| Full Name | Pablo R Proano Md Ps |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1229 Madison St, Seattle, Washington |
| Authorized Official Name and Position | Pablo R Proano (MD CORPORATE PRESIDENT) |
| Authorized Official Contact | 2063863103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pablo R Proano Md Ps 17719 Pac Ave S Valley West Billing Svc Pmb 431 Spanaway WA 98387-8334 Ph: (253) 847-9195 | Pablo R Proano Md Ps 1229 Madison St Ste 1210 Seattle WA 98104-3586 Ph: (206) 386-3103 |
| NPI Number | 1447370366 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9931205507 |
|---|---|
| Medicare Enrollment ID | O20070430000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447370366 | NPI | - | NPPES |
| 1030220 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20243 (Washington) | Primary |
| Provider Name | Pablo R Proano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639109036 PECOS PAC ID: 0244335214 Enrollment ID: I20070419000454 |
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