| Dr Nizar Abdelrahman Mukhtar, MD | |
| 
					1124 Columbia St, Suite 600, Seattle, WA 98104-2026  | |
| (206) 386-3660 | |
| (206) 386-3644 | 
| Full Name | Dr Nizar Abdelrahman Mukhtar | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Transplant Hepatology | 
| Location | 1124 Columbia St, Seattle, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477880508 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD60583720 (Washington) | Secondary | 
| 207RT0003X | Internal Medicine - Transplant Hepatology | MD60583720 (Washington) | Primary | 
| Entity Name | Permanente Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Nizar Abdelrahman Mukhtar, MD Po Box 25608, Salt Lake City, UT 84125-0608 Ph: (206) 320-4476  | Dr Nizar Abdelrahman Mukhtar, MD 1124 Columbia St, Suite 600, Seattle, WA 98104-2026 Ph: (206) 386-3660  | 
Sandhya Ramanathan Panch, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Eastlake Ave E, Seattle, WA 98109 Phone: 206-520-5000  | |
Stephen A Lopez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 925 Seneca St, Seattle, WA 98101 Phone: 206-341-0860  | |
Dr. Susan Hunt, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Uwmc Department Of Medicine, Box 356429, Seattle, WA 98195 Phone: 206-221-7993 Fax: 206-221-8732  | |
Timothy William Menza, MD, PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000  | |
Dr. Vinay Gupta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-223-6980 Fax: 206-223-6982  | |
Dr. Maria Ann Corcorran, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 N 115th St, Seattle, WA 98133 Phone: 206-520-5000  | |
Vyshak Alva Venur, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Eastlake Ave E, Seattle, WA 98109 Phone: 206-520-5700  |