Karmel Medical Clinic, Inc. | |
11318 Bridgeport Way Sw Ste A Lakewood WA 98499-3054 | |
(253) 983-1800 | |
Not Available |
Full Name | Karmel Medical Clinic, Inc. |
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Speciality | Clinic/Center |
Location | 11318 Bridgeport Way Sw Ste A, Lakewood, Washington |
Authorized Official Name and Position | Mehrdad Khalighi (MEDICAL DIRECTOR) |
Authorized Official Contact | 2539831800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Karmel Medical Clinic, Inc. P. O. Box 39535 Lakewood WA 98496 Ph: (253) 983-1800 | Karmel Medical Clinic, Inc. 11318 Bridgeport Way Sw Ste A Lakewood WA 98499-3054 Ph: (253) 983-1800 |
NPI Number | 1275810913 |
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Provider Enumeration Date | 11/09/2011 |
Last Update Date | 11/09/2011 |
Medicare PECOS PAC ID | 3971762477 |
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Medicare Enrollment ID | O20120301000634 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275810913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | MD00044013 (Washington) | Primary |
Provider Name | Mehrdad Khalighi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114986619 PECOS PAC ID: 3971531799 Enrollment ID: I20050802000420 |
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