Individual
DR. FIDEL CARILLO REBELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-6200
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD00046502
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00046502
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8463150
—
WA
Enumeration date
07/21/2006
Last updated
01/04/2022
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