| Drsidsiahpushpsychiatrist Llc | |
|
12025 115th Ave Ne Ste 200 Kirkland WA 98034-6935 | |
| (425) 821-1810 | |
| (425) 823-1231 |
| Full Name | Drsidsiahpushpsychiatrist Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12025 115th Ave Ne Ste 200, Kirkland, Washington |
| Authorized Official Name and Position | Sid H Siahpush (EMPLOYEE) |
| Authorized Official Contact | 4258211810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drsidsiahpushpsychiatrist Llc 12025 115th Ave Ne Ste 200 Kirkland WA 98034-6935 Ph: (425) 821-1810 | Drsidsiahpushpsychiatrist Llc 12025 115th Ave Ne Ste 200 Kirkland WA 98034-6935 Ph: (425) 821-1810 |
| NPI Number | 1962173179 |
|---|---|
| Provider Enumeration Date | 09/27/2021 |
| Last Update Date | 09/27/2021 |
| Certification Date | 09/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962173179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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