| Charanjit K. Lamba M.d. P.s. | |
|
24703 38th Ave S Kent WA 98032-4111 | |
| (253) 839-0413 | |
| Not Available |
| Full Name | Charanjit K. Lamba M.d. P.s. |
|---|---|
| Speciality | Clinic/Center |
| Location | 24703 38th Ave S, Kent, Washington |
| Authorized Official Name and Position | Charanjit K. Lamba (PRESIDENT/OWNER) |
| Authorized Official Contact | 2538390413 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charanjit K. Lamba M.d. P.s. 24703 38th Ave S Kent WA 98032-4111 Ph: (253) 839-0413 | Charanjit K. Lamba M.d. P.s. 24703 38th Ave S Kent WA 98032-4111 Ph: (253) 839-0413 |
| NPI Number | 1245408921 |
|---|---|
| Provider Enumeration Date | 02/14/2008 |
| Last Update Date | 02/14/2008 |
| Medicare PECOS PAC ID | 1052448156 |
|---|---|
| Medicare Enrollment ID | O20100421000801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245408921 | NPI | - | NPPES |
| 1046994 | Other | WA | MEDICAID |
| 44320 | Other | WA | L&I |
| LA4631 | Other | WA | REGENCE BLUE SHIELD |
| 751 | Other | WA | AETNA |
| 7102973 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD00020975 (Washington) | Primary |
| Provider Name | Charanjit K Lamba |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780746172 PECOS PAC ID: 2466580022 Enrollment ID: I20100503000674 |
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