| Evangeline Cua Gan, MD | |
|
12800 Bothell-everett Hwy, Suite 190, Everett, WA 98208-6644 | |
| (425) 316-5160 | |
| (425) 225-1005 |
| Full Name | Evangeline Cua Gan |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 12800 Bothell-everett Hwy, Everett, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376644351 | NPI | - | NPPES |
| 8231037 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD00035936 (Washington) | Secondary |
| 207R00000X | Internal Medicine | MD00035936 (Washington) | Primary |
| 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 |
|---|---|
| Evangeline Cua Gan, MD Po Box 3360, Portland, OR 97208-3360 Ph: (866) 366-2983 | Evangeline Cua Gan, MD 12800 Bothell-everett Hwy, Suite 190, Everett, WA 98208-6644 Ph: (425) 316-5160 |
Timothy Edward Mcnamara, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 N Broadway, Suite A3, Everett, WA 98201 Phone: 425-317-0300 Fax: 425-317-0303 | |
Dr. Kurt R. Duffens, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-339-5422 Fax: 425-339-5444 | |
Dr. Madhurina Roy, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9505 19th Ave Se, Ste 100, Everett, WA 98208 Phone: 425-225-6721 Fax: 425-225-6725 | |
Dr. Kavyashri Kodlipet Jagadeesh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1330 Rockefeller Ave Ste 210, Everett, WA 98201 Phone: 425-261-4940 Fax: 425-261-4932 | |
Amy D Nelson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2930 Maple St, Everett, WA 98201 Phone: 425-261-1500 Fax: 425-261-1515 | |
Ya-lan Huang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12728 19th Ave Se Ste 300, Everett, WA 98208 Phone: 425-252-6801 Fax: 425-258-1944 | |
Mahesh Mulumudi, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5411 |