| Dhirendra MD PLLC | |
|
4018 166th Ave Ne Redmond WA 98052-5400 | |
| (224) 766-9400 | |
| Not Available |
| Full Name | Dhirendra MD PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 4018 166th Ave Ne, Redmond, Washington |
| Authorized Official Name and Position | Dhirendra Kumar (MD/OWNER) |
| Authorized Official Contact | 2247669400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dhirendra MD PLLC 4018 166th Ave Ne Redmond WA 98052-5400 Ph: (224) 766-9400 | Dhirendra MD PLLC 4018 166th Ave Ne Redmond WA 98052-5400 Ph: (224) 766-9400 |
| NPI Number | 1376949248 |
|---|---|
| Provider Enumeration Date | 11/05/2014 |
| Last Update Date | 11/05/2014 |
| Medicare PECOS PAC ID | 7012231632 |
|---|---|
| Medicare Enrollment ID | O20150130000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376949248 | NPI | - | NPPES |
| MD60287313 | Other | WA | WA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | David Kim |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1811901861 PECOS PAC ID: 9436189826 Enrollment ID: I20050816000417 |
| Provider Name | Noor a Aaf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558394171 PECOS PAC ID: 4981612793 Enrollment ID: I20060404000786 |
| Provider Name | Roberta S Yoshimura |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306820881 PECOS PAC ID: 6800841461 Enrollment ID: I20060828000051 |
| Provider Name | Ngim C Carmichael |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346522752 PECOS PAC ID: 0446422018 Enrollment ID: I20111004000871 |
| Provider Name | Dhirendra Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437326915 PECOS PAC ID: 5597939173 Enrollment ID: I20121106000415 |
| Provider Name | Kuldeep Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942681523 PECOS PAC ID: 1052616091 Enrollment ID: I20160229001988 |
| Provider Name | Navita Dhanjal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639986912 PECOS PAC ID: 0345778262 Enrollment ID: I20250106002925 |
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