Greta Tan Go is a Pediatric Radiology in Lynnwood, Washington. Greta Tan Go practices all healthcare services and medical treatments related to Pediatric Radiology. The NPI Number for Greta Tan Go is 1578540480. The last update date is 2019-07-29.
Greta Tan Go's current location address is 19020 33rd Ave W Ste 210, Lynnwood, Washington. You can contact this provider via phone number 4255631500 and fax number 4255631374. The mailing address for Greta Tan Go is 19020 33rd Ave W Ste 210, Lynnwood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Greta Tan Go |
|---|---|
| Address | 19020 33rd Ave W Ste 210, Lynnwood, Washington |
| Phone Number | 4255631500 |
| Fax Number | 4255631374 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1578540480 |
|---|---|
| Provider Enumeration Date | 2005-12-30 |
| Last Updated Date | 2019-07-29 |
Provider Mailing Address Detail
| Address | 19020 33rd Ave W Ste 210 |
|---|---|
| City | Lynnwood |
| State | Washington (WA) |
| Post Code | 980364748 |
| Phone Number | 4255631500 |
| Fax Number | 4255631374 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Radiology |
|---|---|
| Taxonomy | 2085P0229X |
| Licence No | M-12399 |
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Definition: A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the ca |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 164154 | WA | L&I PROVIDER NUMBER | |
| 204103 | WA | LNI PROVIDER ID | |
| 135883 | WA | LNI PROVIDER ID | |
| 139425 | WA | L&I PROVIDER NUMBER | |
| 8254997 | WA | -- | |
| 1578540480 | ID | -- | |
| 213704 | WA | LNI PROVIDER ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Greta Tan Go by the Centers for Medicare & Medicaid Services?
The Greta Tan Go has been assigned the NPI (National Provider Identifier) 1578540480 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Greta Tan Go?
The Greta Tan Go is physically situated at 19020 33Rd Ave W Ste 210, in the city of Lynnwood, state of WA, with the postal code 980364748.
What is Greta Tan Go's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Greta Tan Go is Pediatric Radiology, and the taxonomy code that classifies this field of practice is 2085P0229X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578540480 to Greta Tan Go?
The Centers for Medicare & Medicaid Services originally issued the 1578540480 to Greta Tan Go on 2005-12-30.
When was the information pertaining to Greta Tan Go most recently updated or revised?
The details related to Greta Tan Go, including its address, specialty, and other relevant information, were last updated or revised on 2019-07-29.