Individual
MICHAEL D INGRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
925 SENECA ST, SEATTLE, WA 98101-2742
(206) 341-0860
Mailing address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00036424
WA
208M00000X
Hospitalist Physician
Primary
MD00036424
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR & INDUSTRY
WA
01
—
110211127
RAILROAD MEDICARE
—
01
—
5134507
AETNA/USHC PCP
WA
01
—
806396900
IDAHO MEDICAID
WA
05
—
8232126
—
WA
01
—
IN2541
BLUE SHIELD
WA
01
—
MD0002W
ALASKA MEDICAID
WA
01
—
US0818545
AETNA/USHC SPECIALIST
WA
Enumeration date
07/26/2006
Last updated
04/05/2017
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