Aditya Pandu Sunidja, MD | |
1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | |
(253) 761-4200 | |
(253) 383-3553 |
Full Name | Aditya Pandu Sunidja |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 21 Years |
Location | 1304 Fawcett Ave, Tacoma, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861631459 | NPI | - | NPPES |
G8883319 | Other | WA | PTAN-TRA KING CO |
2001567 | Medicaid | WA | |
G8882744 | Other | WA | PTAN-TRA PIERCE CO |
0252135 | Other | WA | LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST |
G8883121 | Other | WA | PTAN-MIO1 |
G8882901 | Other | WA | PTAN-UAOM |
R174972 | Other | WA | PTAN-PENDLETON, OREGON |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD60082442 (Washington) | Primary |
174400000X | Specialist | 235938 (Massachusetts) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
St Joseph Medical Center | Tacoma, WA | Hospital |
Highline Medical Center | Burien, WA | Hospital |
Multicare Covington Medical Center | Covington, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tra-minw P S | 2163316167 | 123 |
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | 3375603970 | 93 |
Tra-minw P S | 2163316167 | 123 |
Entity Name | Radia Inc P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932196607 PECOS PAC ID: 9931012812 Enrollment ID: O20031106000749 |
Entity Name | Tra-minw P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396814166 PECOS PAC ID: 2163316167 Enrollment ID: O20040211000326 |
Entity Name | Union Avenue Open Mri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568531242 PECOS PAC ID: 5597652917 Enrollment ID: O20040301001189 |
Entity Name | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083802946 PECOS PAC ID: 3375603970 Enrollment ID: O20081126000315 |
Mailing Address | Practice Location Address |
---|---|
Aditya Pandu Sunidja, MD Po Box 1535, Tacoma, WA 98401-1535 Ph: (253) 761-4200 | Aditya Pandu Sunidja, MD 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 Ph: (253) 761-4200 |
Dr. Yuyao Zhang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4201 Fax: 253-761-4201 | |
Mark Ranier Dalisay, Radiology Medicare: Not Enrolled in Medicare Practice Location: 7520 S I St, Tacoma, WA 98408 Phone: 702-305-1889 | |
Dr. Joel Thomas Mcfarland, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 Fax: 253-596-3301 | |
Dr. Jana Lynn Fahmy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201 | |
Dr. Scott Randall Henneman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201 | |
Dr. Mark Gerard O'callaghan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
Peter Alan Ory, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402 Phone: 253-680-3372 Fax: 253-383-3553 |