| Vital Pro Health Pllc | |
|
2007 152nd Ave Ne Redmond WA 98052-5521 | |
| (425) 453-6838 | |
| (425) 456-0106 |
| Full Name | Vital Pro Health Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2007 152nd Ave Ne, Redmond, Washington |
| Authorized Official Name and Position | Yakov Grinberg (CO-OWNER) |
| Authorized Official Contact | 4254536838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Pro Health Pllc 2007 152nd Ave Ne Redmond WA 98052-5521 Ph: (425) 453-6838 | Vital Pro Health Pllc 2007 152nd Ave Ne Redmond WA 98052-5521 Ph: (425) 453-6838 |
| NPI Number | 1902625775 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 02/25/2025 |
| Medicare PECOS PAC ID | 8022543628 |
|---|---|
| Medicare Enrollment ID | O20241119003888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902625775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Yakov P Grinberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417922048 PECOS PAC ID: 5294899167 Enrollment ID: I20100719000829 |
| Provider Name | Irine Vaiman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366417982 PECOS PAC ID: 6406743657 Enrollment ID: I20100730000325 |
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