Individual
MELDY TASWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2930 MAPLE ST, EVERETT, WA 98201-2823
(425) 261-1500
Mailing address
2930 MAPLE ST, EVERETT, WA 98201-2823
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00044587
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0197417
L & I PROVIDER NUMBER
WA
01
—
1982TA
REGENCE RIDER NUMBER
WA
01
—
7227623
AETNA PROVIDER NUMBER
WA
05
—
8425829
—
WA
01
—
911203494CB
KPS PROVIDER NUMBER
WA
01
—
98390B030
TRICARE PROVIDER NUMBER
WA
Enumeration date
06/13/2006
Last updated
05/04/2021
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