Individual
DR. LUBA KIHICHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22850 NE 8TH ST, SUITE 103, SAMMAMISH, WA 98074-7256
(425) 898-0305
(425) 898-8825
Mailing address
PO BOX 34036, SEATTLE, WA 98124-1036
(425) 899-3292
(425) 899-3269
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00016178
WA
207Q00000X
Family Medicine Physician
Primary
MD00016178
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080124614
MEDICARE RAILROAD
WA
01
—
117516
LABOR & INDUSTRIES
WA
01
—
2955KI
BLUE SHIELD
WA
05
—
8204166
—
WA
Enumeration date
11/16/2005
Last updated
02/16/2011
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