Individual
NILUBON METHACHITTIPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 NE PACIFIC ST STE BB552, SEATTLE, WA 98195-0553
(206) 685-1397
(206) 685-9394
Mailing address
1959 NE PACIFIC ST STE BB552, SEATTLE, WA 98195-0001
(206) 685-1397
(206) 685-9394
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
248059
MA
207RC0000X
Cardiovascular Disease Physician
BP10049193
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD60733931
WA
Other
Enumeration date
06/20/2011
Last updated
07/21/2022
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