MEDICARE: THOMAS PATAMIA 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	2084P0805X	Geriatric Psychiatry Physician	MD00042063	WA
2	2084P0800X	Psychiatry Physician	MD00042063	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	:	1669406682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS PATAMIA MD

Provider Business Mailing Address
First Line	:	16045 1ST AVE S FL 1
Second Line	:
City	:	BURIEN
State	:	WA
Zip	:	98148-1401
Country	:	US
Telephone Number	:	206-965-4100
Fax Number	:	253-985-6879

Provider Business Practice Location Address
First Line	:	16045 1ST AVE S FL 1
Second Line	:
City	:	BURIEN
State	:	WA
Zip	:	98148-1401
Country	:	US
Telephone Number	:	206-965-4100
Fax Number	:	253-985-6879

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	12/08/2020

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Directions to “ THOMAS PATAMIA MD” Practice Location

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