| Promed Preferred Wa Professional Corporation | |
|
16400 Southcenter Pkwy Ste 309 Tukwila WA 98188-3302 | |
| (206) 304-7815 | |
| Not Available |
| Full Name | Promed Preferred Wa Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 16400 Southcenter Pkwy Ste 309, Tukwila, Washington |
| Authorized Official Name and Position | Lev Grinman (CO-OWNER) |
| Authorized Official Contact | 2063047815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promed Preferred Wa Professional Corporation 4 Legends Cir Melville NY 11747-5302 Ph: () - | Promed Preferred Wa Professional Corporation 16400 Southcenter Pkwy Ste 309 Tukwila WA 98188-3302 Ph: (206) 304-7815 |
| NPI Number | 1902645013 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 06/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902645013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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