Individual
SU LEI TIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
34503 9TH AVE S, FEDERAL WAY, WA 98003-8727
(253) 835-8700
(253) 835-8000
Mailing address
34503 9TH AVE S STE 100, FEDERAL WAY, WA 98003-8726
(253) 835-8700
(253) 835-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61091055
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2161950
—
WA
Enumeration date
06/30/2017
Last updated
09/23/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us