MEDICARE: TODD FREDERICK DARDAS 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	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	MD60152846	WA
2	207RC0000X	Cardiovascular Disease Physician	60152846	WA

Other Identifiers

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

General Provider Information

NPI Number	:	1184647711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD FREDERICK DARDAS MD

Provider Business Mailing Address
First Line	:	1959 NE PACIFIC ST BOX 356422
Second Line	:	SUITE AA522
City	:	SEATTLE
State	:	WA
Zip	:	98195-6422
Country	:	US
Telephone Number	:	206-543-2914
Fax Number	:	206-616-4847

Provider Business Practice Location Address
First Line	:	1959 NE PACIFIC ST BOX 356422
Second Line	:	SUITE AA522
City	:	SEATTLE
State	:	WA
Zip	:	98195-6422
Country	:	US
Telephone Number	:	206-543-2914
Fax Number	:	206-616-4847

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	11/28/2017

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Directions to “ TODD FREDERICK DARDAS MD” Practice Location

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