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Individual

PAKAWADEE KHOVIDHUNKIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60545197
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022702
ANTHEM
ME
05
1457423956
WA
01
3240685
AETNA
ME
01
9953979
CIGNA
ME
01
AA16534
HPHC
ME
Enumeration date
11/14/2006
Last updated
08/01/2019
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