Achebe Md Ps | |
1016 Tacoma Ave Sunnyside WA 98944-2263 | |
(509) 837-1500 | |
Not Available |
Full Name | Achebe Md Ps |
---|---|
Speciality | Internal Medicine |
Location | 1016 Tacoma Ave, Sunnyside, Washington |
Authorized Official Name and Position | Ngozi J Achebe (OWNER) |
Authorized Official Contact | 3602399515 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Achebe Md Ps 2103 Harrison Ave Nw #2616 Olympia WA 98502-2636 Ph: (360) 239-9515 | Achebe Md Ps 1016 Tacoma Ave Sunnyside WA 98944-2263 Ph: (509) 837-1500 |
NPI Number | 1245656883 |
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Provider Enumeration Date | 03/06/2014 |
Last Update Date | 03/06/2014 |
Medicare PECOS PAC ID | 5092938423 |
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Medicare Enrollment ID | O20140603001267 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245656883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD00042897 (Washington) | Primary |
Provider Name | Ngozi J Achebe |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053320309 PECOS PAC ID: 5193610772 Enrollment ID: I20040220001140 |
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