| Vivaa Pllc | |
|
1301 4th Ave Nw Suite: 302 Issaquah WA 98027-9371 | |
| (425) 250-9999 | |
| Not Available |
| Full Name | Vivaa Pllc |
|---|---|
| Speciality | Surgery |
| Location | 1301 4th Ave Nw, Issaquah, Washington |
| Authorized Official Name and Position | Ramandeep Singh Sidhu (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4252509999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivaa Pllc 1301 4th Ave Nw Suite: 302 Issaquah WA 98027-9371 Ph: (425) 250-9999 | Vivaa Pllc 1301 4th Ave Nw Suite: 302 Issaquah WA 98027-9371 Ph: (425) 250-9999 |
| NPI Number | 1750759429 |
|---|---|
| Provider Enumeration Date | 09/10/2015 |
| Last Update Date | 01/24/2018 |
| Medicare PECOS PAC ID | 6103127824 |
|---|---|
| Medicare Enrollment ID | O20151222000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750759429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | (* (Not Available)) | Primary |
| Provider Name | Ramandeep S Sidhu |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1083879340 PECOS PAC ID: 9032248935 Enrollment ID: I20121107000334 |
| Provider Name | Navdeep Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972745701 PECOS PAC ID: 3779632195 Enrollment ID: I20121112000652 |
| Provider Name | Sayed Amirhossein Khademi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407271547 PECOS PAC ID: 8224322581 Enrollment ID: I20160809001741 |
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