Individual
DILREET RAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1035 116TH AVE NE, BELLEVUE, WA 98004-4604
(425) 688-5000
Mailing address
1035 116TH AVE NE, BELLEVUE, WA 98004-4604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
S2663
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD61410653
WA
207RP1001X
Pulmonary Disease Physician
MD61410653
WA
Other
Enumeration date
04/07/2016
Last updated
05/24/2024
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