Individual
DR. SERGE BARLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2001 152ND AVE NE, REDMOND, WA 98052-5521
(425) 643-8901
(425) 643-8902
Mailing address
2001 152ND AVE NE, REDMOND, WA 98052-5521
(425) 643-8901
(425) 643-8902
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000798
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
PO00000798
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123454
—
WA
01
—
P00400081
RR MEDICARE
WA
Enumeration date
08/30/2006
Last updated
05/02/2012
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