| Patrick Phan, M.d., P.s. | |
|
2902 112th Ave Se Bellevue WA 98004-7528 | |
| (206) 725-4322 | |
| Not Available |
| Full Name | Patrick Phan, M.d., P.s. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2902 112th Ave Se, Bellevue, Washington |
| Authorized Official Name and Position | Patrick T. Phan (PRESIDENT) |
| Authorized Official Contact | 2067254322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Phan, M.d., P.s. 2902 112th Ave Se Bellevue WA 98004-7528 Ph: (206) 725-4322 | Patrick Phan, M.d., P.s. 2902 112th Ave Se Bellevue WA 98004-7528 Ph: (206) 725-4322 |
| NPI Number | 1841420593 |
|---|---|
| Provider Enumeration Date | 07/15/2009 |
| Last Update Date | 07/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841420593 | NPI | - | NPPES |
| 1087196 | Medicaid | WA | |
| 1086792 | Medicaid | WA | |
| 1982800 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD00026346 (Washington) | Primary |
| 208D00000X | General Practice | MD00026346 (Washington) | Secondary |
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