MEDICARE: DR. JEEVEN SINGH PADDA 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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1942683404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEEVEN SINGH PADDA M.D.

Provider Business Mailing Address
First Line	:	1800 BOREN AVE APT 824
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-1462
Country	:	US
Telephone Number	:	252-481-4860
Fax Number	:

Provider Business Practice Location Address
First Line	:	1959 NE PACIFIC ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-2818
Country	:	US
Telephone Number	:	206-543-6577
Fax Number	:

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

Provider Enumeration Date	:	07/02/2015
Last Update Date	:	07/24/2019

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