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NPI Code Detail

MEDICARE: CHRISTINA KABA MD

MEDICARE: CHRISTINA KABA 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
1390200000XStudent in an Organized Health Care Education/Training ProgramCA
2207R00000XInternal Medicine PhysicianMD61151130WA

General Provider Information

NPI Number : 1427553189
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA KABA MD
Provider Business Mailing Address
First Line : 10416 5TH AVE NE
Second Line :
City : SEATTLE
State : WA
Zip : 98125-7449
Country : US
Telephone Number : 206-514-6700
Fax Number : 206-517-6665
Provider Business Practice Location Address
First Line : 10416 5TH AVE NE
Second Line :
City : SEATTLE
State : WA
Zip : 98125-7449
Country : US
Telephone Number : 206-514-6700
Fax Number : 206-517-6665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2018
Last Update Date : 09/09/2021

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