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NPI Code Detail

MEDICARE: DR. PAUL ARTHUR MERGUERIAN M.D.

MEDICARE: DR. PAUL ARTHUR MERGUERIAN M.D.
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
12088P0231XPediatric Urology PhysicianMD60238195WA
2208800000XUrology PhysicianMD60238195WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700895000
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL ARTHUR MERGUERIAN M.D.
Provider Business Mailing Address
First Line : 4800 SAND POINT WAY NE # MSW-7229
Second Line : DIVISION OF PEDIATRIC UROLOGY
City : SEATTLE
State : WA
Zip : 98105-3901
Country : US
Telephone Number : 206-987-1623
Fax Number : 206-987-3925
Provider Business Practice Location Address
First Line : 4800 SAND POINT WAY NE # MSW-7229
Second Line : DIVISION OF PEDIATRIC UROLOGY
City : SEATTLE
State : WA
Zip : 98105-3901
Country : US
Telephone Number : 206-987-1623
Fax Number : 206-987-3925
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 11/01/2011

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