Individual
YAKOV P GRINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2007 152ND AVE NE, REDMOND, WA 98052
(425) 453-6838
(425) 456-0106
Mailing address
2007 152ND AVE NE, REDMOND, WA 98052-5521
(425) 440-7777
(425) 440-7771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00034469
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8212011
—
WA
Enumeration date
02/17/2006
Last updated
02/24/2025
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