Healthcare Provider Details

I. General information

NPI: 1841438090
Provider Name (Legal Business Name): SIGMUND MENCHEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2009
Last Update Date: 01/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 154TH PLACE SE
BELLEVUE WA
98006
US

IV. Provider business mailing address

PO BOX 5656
BELLEVUE WA
98006
US

V. Phone/Fax

Practice location:
  • Phone: 425-401-2083
  • Fax: 425-401-6351
Mailing address:
  • Phone: 425-765-9665
  • Fax: 425-401-6351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License NumberMD0003608A
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License Number02800087
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: