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NPI Code Detail

MEDICARE: CAROL A DOROSHOW M.D.

MEDICARE: CAROL A DOROSHOW 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
1208000000XPediatrics PhysicianMD00020986WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
26585DOOTHERWAREGENCE
34215844OTHERWAAETNA
4P594301OTHERWAPREMERA
5800274OTHERWAFIRST HEALTH

General Provider Information

NPI Number : 1063592368
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL A DOROSHOW M.D.
Provider Business Mailing Address
First Line : 4411 FREMONT AVE N
Second Line :
City : SEATTLE
State : WA
Zip : 98103-7225
Country : US
Telephone Number : 206-957-1881
Fax Number : 206-957-1895
Provider Business Practice Location Address
First Line : 4411 FREMONT AVE N
Second Line :
City : SEATTLE
State : WA
Zip : 98103-7225
Country : US
Telephone Number : 206-957-1881
Fax Number : 206-957-1895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 03/31/2020

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Directions to “ CAROL A DOROSHOW M.D.” Practice Location

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