Individual
DIANE Y BAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1112 6TH AVE, STE 200, TACOMA, WA 98405-4040
(253) 272-8664
(253) 627-7880
Mailing address
1112 6TH AVE, STE 200, TACOMA, WA 98405-4040
(253) 272-8664
(253) 627-7880
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00049108
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0298874
STATE L&I
WA
01
—
0298875
STATE L&I
WA
01
—
0298876
STATE L&I
WA
01
—
0298877
STATE L&I
WA
05
—
186226001
—
TX
01
—
8F3157
BCBSTX
TX
Enumeration date
06/21/2006
Last updated
11/06/2012
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