# MAYLIN J PADAYATTY MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114364122
- **Authorized official:** LORI LABRECQUE (ACCOUNTS MANAGER)
- **Authorized official phone:** (702) 453-3799

## Contact information

- **Practice address:** 520 N 4TH AVE, PASCO, WA 99301-5257
- **Practice address phone:** (509) 547-7704
- **Mailing address:** 4003 S IRBY ST, KENNEWICK, WA 99337-2455
- **Mailing address phone:** (702) 453-3799
- **Mailing address fax:** (702) 453-5741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | MD00043799 | WA | Yes |

## Other

- **Enumeration date:** 05/30/2013
- **Last updated:** 05/31/2013