| Overlake Internal Medicine Associates Inc Ps | |
|
1407 116th Ave Ne Suite 200 Bellevue WA 98004-3819 | |
| (425) 990-5222 | |
| Not Available |
| Full Name | Overlake Internal Medicine Associates Inc Ps |
|---|---|
| Speciality | Internal Medicine |
| Location | 1407 116th Ave Ne, Bellevue, Washington |
| Authorized Official Name and Position | Nghia Giang (CEO) |
| Authorized Official Contact | 4259747601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Overlake Internal Medicine Associates Inc Ps Po Box 5845 Portland OR 97228-5845 Ph: (425) 454-5281 | Overlake Internal Medicine Associates Inc Ps 1407 116th Ave Ne Suite 200 Bellevue WA 98004-3819 Ph: (425) 990-5222 |
| NPI Number | 1407896806 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 07/05/2019 |
| Medicare PECOS PAC ID | 9830090042 |
|---|---|
| Medicare Enrollment ID | O20040120000195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407896806 | NPI | - | NPPES |
| G217121200 | Other | WA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Eric Hansen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154396570 PECOS PAC ID: 9133116007 Enrollment ID: I20040430000756 |
| Provider Name | Joseph I Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922026582 PECOS PAC ID: 9234026923 Enrollment ID: I20040727001362 |
| Provider Name | Randip Singh |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1477569630 PECOS PAC ID: 8022031632 Enrollment ID: I20060110000644 |
| Provider Name | Alan B Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144228750 PECOS PAC ID: 6507815594 Enrollment ID: I20061129000027 |
| Provider Name | Marc R Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588687354 PECOS PAC ID: 1658456694 Enrollment ID: I20080314000166 |
| Provider Name | Michael J Battaglia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023089752 PECOS PAC ID: 3274690201 Enrollment ID: I20090319000031 |
| Provider Name | Scott T Bonvallet |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649230095 PECOS PAC ID: 9739080904 Enrollment ID: I20100210000610 |
| Provider Name | Allen J Geltzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497775928 PECOS PAC ID: 6507767738 Enrollment ID: I20100224000801 |
| Provider Name | Darshana G Shanbhag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841204195 PECOS PAC ID: 4688718810 Enrollment ID: I20100225000441 |
| Provider Name | Jill Enright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740240340 PECOS PAC ID: 1850583030 Enrollment ID: I20101006000496 |
| Provider Name | Christopher R Boone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770783607 PECOS PAC ID: 8224285358 Enrollment ID: I20130821000909 |
| Provider Name | Renu Chawla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285634790 PECOS PAC ID: 7012926231 Enrollment ID: I20150728006579 |
| Provider Name | Reuben Walia |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1770877094 PECOS PAC ID: 0446484141 Enrollment ID: I20151009002024 |
| Provider Name | Cameron Woodward Schick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841426970 PECOS PAC ID: 1850539636 Enrollment ID: I20160316001226 |
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