| Niermala Rattan-washington,m.d.,p.a. | |
|
3511 Nw 8th Ave Suite 2 Pompano Beach FL 33064-3055 | |
| (954) 783-0621 | |
| (954) 255-5607 |
| Full Name | Niermala Rattan-washington,m.d.,p.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 3511 Nw 8th Ave, Pompano Beach, Florida |
| Authorized Official Name and Position | Niermala Washington (PRESIDENT) |
| Authorized Official Contact | 9542884481481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Niermala Rattan-washington,m.d.,p.a. 2137 Sea Pines Way Coral Springs FL 33071-7738 Ph: (954) 288-4481 | Niermala Rattan-washington,m.d.,p.a. 3511 Nw 8th Ave Suite 2 Pompano Beach FL 33064-3055 Ph: (954) 783-0621 |
| NPI Number | 1225209919 |
|---|---|
| Provider Enumeration Date | 03/20/2008 |
| Last Update Date | 01/13/2016 |
| Medicare PECOS PAC ID | 3173567286 |
|---|---|
| Medicare Enrollment ID | O20050618000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225209919 | NPI | - | NPPES |
| 271039100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME90568 (Florida) | Primary |
| Provider Name | Niermala Washington |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780611764 PECOS PAC ID: 9830155696 Enrollment ID: I20041203000694 |
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