| Sue A. Ikai Md, Llc | |
|
5200 S Dawson St Seattle WA 98118-2124 | |
| (206) 890-3363 | |
| (206) 466-2327 |
| Full Name | Sue A. Ikai Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5200 S Dawson St, Seattle, Washington |
| Authorized Official Name and Position | Sue A Ikai (OWNER) |
| Authorized Official Contact | 2068903363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sue A. Ikai Md, Llc 5200 S Dawson St Seattle WA 98118-2124 Ph: (206) 890-3363 | Sue A. Ikai Md, Llc 5200 S Dawson St Seattle WA 98118-2124 Ph: (206) 890-3363 |
| NPI Number | 1881025740 |
|---|---|
| Provider Enumeration Date | 12/03/2013 |
| Last Update Date | 12/03/2013 |
| Medicare PECOS PAC ID | 4183852924 |
|---|---|
| Medicare Enrollment ID | O20140124000540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881025740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sue A Ikai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346395787 PECOS PAC ID: 4385626688 Enrollment ID: I20040602000055 |
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