Healthcare Provider Details

I. General information

NPI: 1124567474
Provider Name (Legal Business Name): PACMED CLINICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2017
Last Update Date: 10/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 MADISON ST STE 301
SEATTLE WA
98104-3599
US

IV. Provider business mailing address

1101 MADISON ST STE 301
SEATTLE WA
98104-3599
US

V. Phone/Fax

Practice location:
  • Phone: 206-505-1300
  • Fax:
Mailing address:
  • Phone: 206-505-1300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License NumberPHAR.CF.60601051
License Number StateWA

VIII. Authorized Official

Name: DR. VIKRAMSINH DABHI
Title or Position: CHIEF MEDICAL OFFICER
Credential: MD
Phone: 206-621-4618