Whalio Doctors

NPI 1306021456

American Medical Service

Organisation Exclusive Provider Organization Bellevue, WA

Practice location

Address
1420 154th Ave NE # 4602, Bellevue, WA 98007
Phone
(425) 644-7554
Mailing address
15127 NE 24th St #235, Redmond, WA 98052

Authorised official

Name
Asam Mustafa
Title
Ceo
Phone
(425) 518-3642

Registered specialties

Exclusive Provider Organization Primary
Managed Care Organizations Taxonomy 302F00000X Licence 601935160 (WA)

Registry record

NPI
1306021456
Entity type
Organization
NPI issued
8 Jan 2008
Record last updated
18 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.