| Dr. Gan's Family Practice | |
|
1811 156th Ave Ne Suite 5 Bellevue WA 98007-4344 | |
| (425) 747-8950 | |
| (425) 747-3254 |
| Full Name | Dr. Gan's Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1811 156th Ave Ne, Bellevue, Washington |
| Authorized Official Name and Position | Chi Gan (PRESIDENT) |
| Authorized Official Contact | 4257478950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Gan's Family Practice 1811 156th Ave Ne Suite 5 Bellevue WA 98007-4344 Ph: (425) 747-8950 | Dr. Gan's Family Practice 1811 156th Ave Ne Suite 5 Bellevue WA 98007-4344 Ph: (425) 747-8950 |
| NPI Number | 1629025705 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 10/02/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629025705 | NPI | - | NPPES |
| 1119114 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00042949 (Washington) | Primary |
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