Individual
EIJI MINAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1135 116TH AVE NE, SUITE 550, BELLEVUE, WA 98004-4623
(425) 688-1916
(425) 688-1901
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00026646
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0064799
DEPT OF LABOR AND INDUSTR
WA
05
—
1120385
—
WA
01
—
MI6668
BLUE SHIELD
WA
Enumeration date
05/18/2006
Last updated
02/27/2013
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