Organization
MICHAEL MOHANDESON, MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL M MOHANDESON MD (CORPORATION PRESIDENT)
(206) 365-1100
Entity
Organization
Contact information
Practice address
10564 5TH AVE NE, SUITE 301, SEATTLE, WA 98125
(206) 365-1100
(206) 365-1118
Mailing address
10564 5TH AVE NE, SUITE 301, SEATTLE, WA 98125
(206) 365-1100
(206) 365-1118
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16823
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1739101
—
WA
Enumeration date
08/14/2006
Last updated
11/15/2011
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