MEDICARE: DR. VLADIMIR DZHASHI 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
1	208M00000X	Hospitalist Physician	MD60265710	WA
2	208M00000X	Hospitalist Physician	M-15194	ID
3	207R00000X	Internal Medicine Physician	MD60265710	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	025904	OTHER	WA	KRMC L&I GROUP NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063643542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VLADIMIR DZHASHI MD

Provider Business Mailing Address
First Line	:	888 SWIFT BLVD
Second Line	:
City	:	RICHLAND
State	:	WA
Zip	:	99352-3514
Country	:	US
Telephone Number	:	509-942-3627
Fax Number	:	509-627-2983

Provider Business Practice Location Address
First Line	:	888 SWIFT BLVD.
Second Line	:
City	:	RICHLAND
State	:	WA
Zip	:	99352
Country	:	US
Telephone Number	:	509-946-4611
Fax Number	:	509-942-3115

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

Provider Enumeration Date	:	08/02/2009
Last Update Date	:	03/05/2026

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