| Eva Pearl Farrukh, RD | |
|
7325 Phillips Rd Sw, Lakewood, WA 98498-6392 | |
| (347) 263-1517 | |
| Not Available |
| Full Name | Eva Pearl Farrukh |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 3 Years |
| Location | 7325 Phillips Rd Sw, Lakewood, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851033351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 60980598 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Multicare Health System | 7719899897 | 1815 |
| Provider Name | Multicare Health System |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Eva Pearl Farrukh, RD 1901 S Union Ave, Tacoma, WA 98405-1702 Ph: () - | Eva Pearl Farrukh, RD 7325 Phillips Rd Sw, Lakewood, WA 98498-6392 Ph: (347) 263-1517 |
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