| Doctors Of Bellevue-redmond, Pllc | |
|
15710 Ne 24th Street Ste C Bellevue WA 98008-2444 | |
| (425) 208-0026 | |
| (425) 644-3868 |
| Full Name | Doctors Of Bellevue-redmond, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15710 Ne 24th Street, Bellevue, Washington |
| Authorized Official Name and Position | Maryana Shaban (MANAGER) |
| Authorized Official Contact | 4252080026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Of Bellevue-redmond, Pllc 15710 Ne 24th St Ste C Bellevue WA 98008-2444 Ph: (425) 208-0026 | Doctors Of Bellevue-redmond, Pllc 15710 Ne 24th Street Ste C Bellevue WA 98008-2444 Ph: (425) 208-0026 |
| NPI Number | 1598941551 |
|---|---|
| Provider Enumeration Date | 01/21/2008 |
| Last Update Date | 08/23/2022 |
| Medicare PECOS PAC ID | 5294817243 |
|---|---|
| Medicare Enrollment ID | O20080129000673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598941551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 44878 (Washington) | Primary |
| Provider Name | Alexander Dudetsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588687024 PECOS PAC ID: 5496740987 Enrollment ID: I20050908001240 |
| Provider Name | Nelly M Bardman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326117300 PECOS PAC ID: 7517973365 Enrollment ID: I20060302000481 |
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