Eastside Internal Medicine Pllc in Kirkland - Medical Specialty
Eastside Internal Medicine Pllc - NPI 1023165594
Eastside Internal Medicine Pllc is a Medical Specialty in Kirkland, Washington. Eastside Internal Medicine Pllc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Eastside Internal Medicine Pllc is 1023165594. The last update date is 2007-12-18.
Eastside Internal Medicine Pllc's current location address is 12333 Ne 120th Ln. Ste 310, Kirkland, Washington. You can contact this provider via phone number 4258996700 and fax number 4258996701. The mailing address for Eastside Internal Medicine Pllc is 12333 Ne 120th Ln. Ste 310, Kirkland, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastside Internal Medicine Pllc |
|---|---|
| Address | 12333 Ne 120th Ln. Ste 310, Kirkland, Washington |
| Phone Number | 4258996700 |
| Fax Number | 4258996701 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD PRESIDE |
|---|---|
| Authorized Official Name | Portelance A Douglas |
| Telephone Number | 4258996700 |
NPI Number Detail
| NPI Number | 1023165594 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2007-12-18 |
Provider Mailing Address Detail
| Address | 12333 Ne 120th Ln. Ste 310 |
|---|---|
| City | Kirkland |
| State | Washington (WA) |
| Post Code | 98034 |
| Phone Number | 4258996700 |
| Fax Number | 4258996701 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 145684 | WA | LABOR & INDUSTRIES |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Eastside Internal Medicine Pllc by the Centers for Medicare & Medicaid Services?
The Eastside Internal Medicine Pllc has been issued the NPI (National Provider Identifier) 1023165594, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Eastside Internal Medicine Pllc?
The Eastside Internal Medicine Pllc is situated at 12333 Ne 120Th Ln. Ste 310, in the city of Kirkland, state of WA, with the zip code 98034.
What is Eastside Internal Medicine Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Eastside Internal Medicine Pllc is Medical Specialty, and the corresponding taxonomy classification code for this specialized field is 261Qm2500X.
On what date was the 1023165594 assigned to Eastside Internal Medicine Pllc?
The Eastside Internal Medicine Pllc was issued its 1023165594 on 2007-01-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Eastside Internal Medicine Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Eastside Internal Medicine Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-12-18.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC