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NPI Code Detail

MEDICARE: DR. AMADO DAYLO M.D.

MEDICARE: DR. AMADO DAYLO 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
12084P0800XPsychiatry Physician01054302AIN
22084P0800XPsychiatry PhysicianMD00045782WA

General Provider Information

NPI Number : 1770573107
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMADO DAYLO M.D.
Provider Business Mailing Address
First Line : 1200 SW 27TH ST
Second Line :
City : RENTON
State : WA
Zip : 98057-2603
Country : US
Telephone Number : 360-475-4226
Fax Number : 360-475-4344
Provider Business Practice Location Address
First Line : 13451 SE 36TH ST
Second Line :
City : BELLEVUE
State : WA
Zip : 98006-1475
Country : US
Telephone Number : 425-562-1337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 03/30/2021

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