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NPI Code Detail

MEDICARE: DR. GUILHERME MOURA DA CUNHA MD

MEDICARE: DR. GUILHERME MOURA DA CUNHA MD
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
12085R0202XDiagnostic Radiology PhysicianMD.MD.70026213WA

Other Identifiers

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

General Provider Information

NPI Number : 1003404096
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GUILHERME MOURA DA CUNHA MD
Provider Business Mailing Address
First Line : 1959 NE PACIFIC ST # 357233
Second Line :
City : SEATTLE
State : WA
Zip : 98195-0001
Country : US
Telephone Number : 206-520-5700
Fax Number :
Provider Business Practice Location Address
First Line : 1959 NE PACIFIC ST
Second Line :
City : SEATTLE
State : WA
Zip : 98195-0001
Country : US
Telephone Number : 206-520-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2021
Last Update Date : 12/12/2025

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