Dhirendra Md Pllc | |
4018 166th Ave Ne Redmond WA 98052-5400 | |
(224) 766-9400 | |
Not Available |
Full Name | Dhirendra Md Pllc |
---|---|
Speciality | Family Medicine |
Location | 4018 166th Ave Ne, Redmond, Washington |
Authorized Official Name and Position | Dhirendra Kumar (MD/OWNER) |
Authorized Official Contact | 2247669400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dhirendra Md Pllc 4018 166th Ave Ne Redmond WA 98052-5400 Ph: (224) 766-9400 | Dhirendra Md Pllc 4018 166th Ave Ne Redmond WA 98052-5400 Ph: (224) 766-9400 |
NPI Number | 1376949248 |
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Provider Enumeration Date | 11/05/2014 |
Last Update Date | 11/05/2014 |
Medicare PECOS PAC ID | 7012231632 |
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Medicare Enrollment ID | O20150130000319 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376949248 | NPI | - | NPPES |
MD60287313 | Other | WA | WA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Dhirendra Kumar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437326915 PECOS PAC ID: 5597939173 Enrollment ID: I20121106000415 |
Provider Name | Kuldeep Kaur |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942681523 PECOS PAC ID: 1052616091 Enrollment ID: I20160229001988 |
Provider Name | Manisha Ramdev |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417525734 PECOS PAC ID: 3971981606 Enrollment ID: I20220608000620 |
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