| Celia M Dastvan, MD | |
|
12800 Bothell Everett Hwy, Suite 190, Everett, WA 98208-6642 | |
| (425) 316-5160 | |
| (425) 316-5163 |
| Full Name | Celia M Dastvan |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 36 Years |
| Location | 12800 Bothell Everett Hwy, Everett, 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 |
|---|---|---|---|
| 1346341377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD00030850 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services- Washington | 8325100480 | 527 |
| Entity Name | Providence Health & Services- Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Celia M Dastvan, MD Po Box 3360, Portland, OR 97208-3360 Ph: (866) 366-2983 | Celia M Dastvan, MD 12800 Bothell Everett Hwy, Suite 190, Everett, WA 98208-6642 Ph: (425) 316-5160 |
Sandra Liu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-259-0966 |
Dr. Leah E Hastings, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1818 121st St Se, Everett, WA 98208 Phone: 425-357-3300 Fax: 425-357-3317 |
Christopher Anthony Bellotti, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5411 |
Dr. Amy Wang Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1424 Broadway, Everett, WA 98201 Phone: 425-789-2000 Fax: 425-789-2096 |
Ashaini Kadakia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2930 Maple St, Everett, WA 98201 Phone: 425-261-1500 Fax: 425-261-1515 |
David Luba, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1818 121st St Se, Everett, WA 98208 Phone: 425-357-3302 |
Judith H. Kuo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12800 Bothell Everett Hwy, Suite 190, Everett, WA 98208 Phone: 425-316-5160 Fax: 425-316-5163 |