Organization
MAYLIN J PADAYATTY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LABRECQUE (ACCOUNTS MANAGER)
(702) 453-3799
Entity
Organization
Contact information
Practice address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 547-7704
Mailing address
4003 S IRBY ST, KENNEWICK, WA 99337-2455
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD00043799
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD00043799
WA LIC
WA
Enumeration date
05/30/2013
Last updated
05/31/2013
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