Individual
DEREK M RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1135 116TH AVE NE, STE 600, BELLEVUE, WA 98004
(425) 454-2656
Mailing address
MS 315010, PO BOX 3947, SEATTLE, WA 98124-3947
(425) 688-5670
(425) 635-6388
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD0002814
WA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD00028014
WA
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD0002814
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BR2186054
—
WA
Enumeration date
08/10/2006
Last updated
07/05/2022
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