| Ladan Health Llc | |
|
13922 Se 275th St Kent WA 98042-9029 | |
| (206) 819-4342 | |
| Not Available |
| Full Name | Ladan Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13922 Se 275th St, Kent, Washington |
| Authorized Official Name and Position | Fadumo Aden (CEO) |
| Authorized Official Contact | 2068194342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ladan Health Llc 13922 Se 275th St Kent WA 98042-9029 Ph: () - | Ladan Health Llc 13922 Se 275th St Kent WA 98042-9029 Ph: (206) 819-4342 |
| NPI Number | 1457011363 |
|---|---|
| Provider Enumeration Date | 12/20/2021 |
| Last Update Date | 12/20/2021 |
| Medicare PECOS PAC ID | 8921492182 |
|---|---|
| Medicare Enrollment ID | O20220303002154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457011363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | (* (Not Available)) | Secondary |
| Provider Name | Fadumo H Aden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427712132 PECOS PAC ID: 0749674901 Enrollment ID: I20220303002210 |
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