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1124558374

NPI Code Detail

MEDICARE: ANNA CONDELLA MD

MEDICARE: ANNA CONDELLA 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	207RP1001X	Pulmonary Disease Physician	MD61166877	WA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	1022956	MA
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD61166877	WA
4	207P00000X	Emergency Medicine Physician	1022956	MA
5	207R00000X	Internal Medicine Physician	MD61166877	WA

General Provider Information

NPI Number	:	1124558374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA CONDELLA MD

Provider Business Mailing Address
First Line	:	PO BOX 50095
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98145-5095
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 9TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-2420
Country	:	US
Telephone Number	:	206-520-5000
Fax Number	:

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

Provider Enumeration Date	:	06/19/2017
Last Update Date	:	02/03/2026

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Directions to “ ANNA CONDELLA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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