| Elite Medicine, Aesthetics & Rejuvenation Pllc | |
|
8015 Se 28th St Ste 310 Mercer Island WA 98040-2910 | |
| (206) 858-2617 | |
| Not Available |
| Full Name | Elite Medicine, Aesthetics & Rejuvenation Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8015 Se 28th St Ste 310, Mercer Island, Washington |
| Authorized Official Name and Position | Mona Shawky, Md (DR/CEO) |
| Authorized Official Contact | 2068582617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Medicine, Aesthetics & Rejuvenation Pllc 8015 Se 28th St Ste 310 Mercer Island WA 98040-2910 Ph: (206) 898-2416 | Elite Medicine, Aesthetics & Rejuvenation Pllc 8015 Se 28th St Ste 310 Mercer Island WA 98040-2910 Ph: (206) 858-2617 |
| NPI Number | 1275166282 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 07/25/2022 |
| Medicare PECOS PAC ID | 4183054265 |
|---|---|
| Medicare Enrollment ID | O20200609003016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275166282 | NPI | - | NPPES |
| 1275166282 | Other | WA | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mona Shawky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861711210 PECOS PAC ID: 4284877903 Enrollment ID: I20140710001057 |
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