MEDICARE: DR. ROBERT A KANTER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MD00014960	WA
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	MD00014960	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	460001130	OTHER	WA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205874955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT A KANTER M.D.

Provider Business Mailing Address
First Line	:	2611 NE 125TH ST #90
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-4357
Country	:	US
Telephone Number	:	206-362-0035
Fax Number	:	206-362-6927

Provider Business Practice Location Address
First Line	:	2611 NE 125TH ST
Second Line	:	SUITE 90
City	:	SEATTLE
State	:	WA
Zip	:	98125-4373
Country	:	US
Telephone Number	:	206-362-0035
Fax Number	:	206-362-6927

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	04/06/2015

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Directions to “ DR. ROBERT A KANTER M.D.” Practice Location

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