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21845 Ne 104th Pl Redmond WA 98053-7680 | |
(425) 246-7798 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 21845 Ne 104th Pl, Redmond, Washington |
Authorized Official Name and Position | Arti Tayade (PHYSICIAN) |
Authorized Official Contact | 4252467798 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1968 Milton WA 98354-1968 Ph: (253) 922-5623 | 21845 Ne 104th Pl Redmond WA 98053-7680 Ph: (425) 246-7798 |
NPI Number | 1720255003 |
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Provider Enumeration Date | 05/15/2008 |
Last Update Date | 02/29/2016 |
Identifier | Type | State | Issuer |
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1720255003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | MD00039289 (Washington) | Primary |
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