Organization
EIJI MINAMI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EIJI MINAMI MD (OWNER)
(425) 688-1916
Entity
Organization
Contact information
Practice address
1135 116TH AVE NE, SUITE 550, BELLEVUE, WA 98004-4623
(425) 688-1916
(425) 688-1901
Mailing address
1135 116TH AVE NE, SUITE 550, BELLEVUE, WA 98004-4623
(425) 688-1916
(425) 688-1901
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
AM7833266
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0064799
DEPT OF L&I
WA
05
—
1120385
—
WA
01
—
MI6668
REGENCE BLUE SHIELD
WA
Enumeration date
07/16/2007
Last updated
11/11/2010
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