| Mark Thomas Hattenhauer, MD | |
|
1615 Delaware St, Longview, WA 98632-2367 | |
| (360) 414-2730 | |
| (360) 414-2739 |
| Full Name | Mark Thomas Hattenhauer |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 1615 Delaware St, Longview, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295740702 | NPI | - | NPPES |
| 8563314 | Medicaid | WA | |
| 085084 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | MD07556 (Oregon) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | MD00028883 (Washington) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Thomas Hattenhauer, MD Po Box 3002, Longview, WA 98632-0302 Ph: (360) 414-2730 | Mark Thomas Hattenhauer, MD 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 414-2730 |
Yoon Hee Amy Chang, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-7800 | |
Alexander Shar, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-7878 Fax: 360-414-7876 | |
Mr. Anawin Sanguankeo, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Lyudmila E Kruzhkov, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3601 | |
Dr. Sahar Taqui, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 | |
James J Nakashima, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2700 Fax: 360-414-2714 | |
Gaurav Gandhi, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3601 Fax: 360-414-5768 |