| Rainier Internal Medicine Llc | |
|
9720 S Tacoma Way Lakewood WA 98499-4456 | |
| (253) 503-3666 | |
| Not Available |
| Full Name | Rainier Internal Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9720 S Tacoma Way, Lakewood, Washington |
| Authorized Official Name and Position | Asif Rashid Khan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2533047753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainier Internal Medicine Llc Po Box 39680 Lakewood WA 98496-3680 Ph: (253) 304-7753 | Rainier Internal Medicine Llc 9720 S Tacoma Way Lakewood WA 98499-4456 Ph: (253) 503-3666 |
| NPI Number | 1972735157 |
|---|---|
| Provider Enumeration Date | 08/20/2009 |
| Last Update Date | 04/26/2022 |
| Certification Date | 09/27/2021 |
| Medicare PECOS PAC ID | 7911049242 |
|---|---|
| Medicare Enrollment ID | O20100125000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972735157 | NPI | - | NPPES |
| Provider Name | Asif R Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821044520 PECOS PAC ID: 1052350311 Enrollment ID: I20050427000436 |
| Provider Name | Naushaba Marri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679630461 PECOS PAC ID: 6103993951 Enrollment ID: I20080922000233 |
| Provider Name | Qudsia Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760658645 PECOS PAC ID: 8325108996 Enrollment ID: I20081201000110 |
| Provider Name | Madiha K Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811127053 PECOS PAC ID: 6709036189 Enrollment ID: I20121019000426 |
| Provider Name | Mary D Moller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770582884 PECOS PAC ID: 8022004837 Enrollment ID: I20150824000807 |
| Provider Name | Rose M Sessoms |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437127743 PECOS PAC ID: 3274761044 Enrollment ID: I20181207000853 |
| Provider Name | Courtney Yant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073173977 PECOS PAC ID: 6103157003 Enrollment ID: I20191008000019 |
| Provider Name | Katrina Brinkopf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538660881 PECOS PAC ID: 3779814470 Enrollment ID: I20191010002237 |
| Provider Name | Sadaf Amir |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1932517745 PECOS PAC ID: 0042607616 Enrollment ID: I20220428002648 |
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