Nithya Vasudevan, | |
4111 194th St Sw, Lynnwood, WA 98036-4604 | |
(425) 789-3745 | |
Not Available |
Full Name | Nithya Vasudevan |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4111 194th St Sw, Lynnwood, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821418278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD60710062 (Washington) | Primary |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Nithya Vasudevan, 4111 194th St Sw, Lynnwood, WA 98036-4604 Ph: () - | Nithya Vasudevan, 4111 194th St Sw, Lynnwood, WA 98036-4604 Ph: (425) 789-3745 |
Hannah Benson, OTD, OTR/L Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20818 44th Ave W Ste 270-p, Lynnwood, WA 98036 Phone: 425-672-2716 Fax: 425-672-2720 | |
Samuel Chu, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4713 168th St Sw Ste 105, Lynnwood, WA 98037 Phone: 425-743-7000 Fax: 425-743-7373 | |
James D Macon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20200 54th Ave W, Lynnwood, WA 98036 Phone: 425-672-6400 | |
Elaine Martel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2902 164th St Sw, Suite E1, Lynnwood, WA 98087 Phone: 425-741-7750 |