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NPI Code Detail

MEDICARE: PATRIS S MARANDI MD

MEDICARE:   PATRIS S MARANDI  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
1208600000XSurgery PhysicianMD00038493WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3020050478OTHERWARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20151001OTHERWALABOR AND INDUSTRY
4MD00038493OTHERWASTATE LICENSE NUMBER

General Provider Information

NPI Number : 1922055581
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRIS S MARANDI MD
Provider Business Mailing Address
First Line : 1400 E KINCAID ST
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98274-4127
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 328 S STILLAGUAMISH AVE
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-1660
Country : US
Telephone Number : 360-840-4565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2006
Last Update Date : 03/30/2026

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Directions to “ PATRIS S MARANDI MD” Practice Location

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