Cardiorenal Therapeutics Of Washington, Pllc | |
1201 Pacific Ave Ste 400 Tacoma WA 98402-4381 | |
(253) 300-8447 | |
Not Available |
Full Name | Cardiorenal Therapeutics Of Washington, Pllc |
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Speciality | Internal Medicine |
Location | 1201 Pacific Ave Ste 400, Tacoma, Washington |
Authorized Official Name and Position | Rehan Shah (OWNER) |
Authorized Official Contact | 5167217069 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cardiorenal Therapeutics Of Washington, Pllc 1201 Pacific Ave Ste 400 Tacoma WA 98402-4381 Ph: (125) 322-8990 | Cardiorenal Therapeutics Of Washington, Pllc 1201 Pacific Ave Ste 400 Tacoma WA 98402-4381 Ph: (253) 300-8447 |
NPI Number | 1467054924 |
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Provider Enumeration Date | 11/10/2020 |
Last Update Date | 11/10/2020 |
Medicare PECOS PAC ID | 7517379613 |
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Medicare Enrollment ID | O20201215000311 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467054924 | NPI | - | NPPES |
Provider Name | Michael C Eveland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427501097 PECOS PAC ID: 0749561959 Enrollment ID: I20161230001137 |
Provider Name | Yi Zheng |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649713207 PECOS PAC ID: 8022379718 Enrollment ID: I20180220001905 |
Provider Name | Holly E Topolski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568026755 PECOS PAC ID: 8123359445 Enrollment ID: I20191016003809 |
Provider Name | Corneliu Volosen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033738455 PECOS PAC ID: 0042620114 Enrollment ID: I20201030000179 |
Provider Name | Rehan Shah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255521332 PECOS PAC ID: 6305018870 Enrollment ID: I20201215000423 |
Provider Name | Macon F Henry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467675306 PECOS PAC ID: 4385059179 Enrollment ID: I20210208002127 |
Provider Name | Junaid Ahmed |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1376830109 PECOS PAC ID: 1759530934 Enrollment ID: I20210218002493 |
Provider Name | Jamie Cline |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588247167 PECOS PAC ID: 8325448228 Enrollment ID: I20210615001459 |
Provider Name | Alyssa Poghen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942813878 PECOS PAC ID: 0547658601 Enrollment ID: I20211022002179 |
Provider Name | Emily Sy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811629439 PECOS PAC ID: 3971986688 Enrollment ID: I20220812002184 |
Provider Name | Ashly-jourdyn Mae Landry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811626211 PECOS PAC ID: 2062895444 Enrollment ID: I20220817003033 |
Provider Name | Victoria P Gandia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225521867 PECOS PAC ID: 0547505448 Enrollment ID: I20220920003381 |
Provider Name | Debra Nicholls |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730770579 PECOS PAC ID: 1052797677 Enrollment ID: I20221005003060 |
Provider Name | Siyi Cao |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003539347 PECOS PAC ID: 0749657955 Enrollment ID: I20221101000810 |
Provider Name | Samantha Marinkovich |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760268254 PECOS PAC ID: 3678928074 Enrollment ID: I20231004002361 |
Provider Name | Alexandra Goward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194506501 PECOS PAC ID: 1456707553 Enrollment ID: I20231025003921 |
Provider Name | Amanda Lee Hatt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093395758 PECOS PAC ID: 7810305554 Enrollment ID: I20231114003736 |
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