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3113 Ne 65th St Seattle WA 98115-7228 | |
(800) 924-8140 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 3113 Ne 65th St, Seattle, Washington |
Authorized Official Name and Position | Elisha Yaghmai (PRESIDENT) |
Authorized Official Contact | 8009248140 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3113 Ne 65th St Seattle WA 98115-7228 Ph: (800) 924-8140 | 3113 Ne 65th St Seattle WA 98115-7228 Ph: (800) 924-8140 |
NPI Number | 1497147094 |
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Provider Enumeration Date | 02/19/2015 |
Last Update Date | 03/30/2015 |
Identifier | Type | State | Issuer |
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1497147094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 04-33447 (Kansas) | Primary |
208000000X | Pediatrics | 04-33447 (Kansas) | Secondary |
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