Active NPIIndividual provider

Jimmy S Adra, MD

Student in an Organized Health Care Education/Training Program in Seattle, Washington

NPI Number1013050004
Practice location
1100 9TH Ave, Seattle, WA 98101-2756
Fax
—
Last updated
July 8, 2007

Jimmy S Adra, MD is a Student in an Organized Health Care Education/Training Program based in Seattle, WA. Jimmy S Adra, MD holds the professional credentials of MD. The NPI number for Jimmy S Adra, MD is 1013050004. The current practice location address is 1100 9TH Ave, Seattle, WA 98101-2756 and the office can be reached by phone at 206-583-6079. The NPI was assigned on February 15, 2007 and the record was last updated in NPPES on July 8, 2007.

●Provider Profile Details

NPI Number
1013050004
Provider Name
Jimmy S Adra
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Sole Proprietor
No
Enumeration Date
February 15, 2007
Last Update Date
July 8, 2007
NPI Status
Active

◉Business Practice Location Address

Address
1100 9TH Ave
Seattle, WA 98101-2756
ZIP
98101-2756
Country
US
Phone Number
206-583-6079

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✉Business Mailing Address

Address
1100 Olive Way Ste 401 # M4-Pa
Seattle, WA 98101-1873
City
Seattle
State
WA
ZIP
98101-1873
Phone Number
206-515-5811

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Student in an Organized Health Care Education/Training Program390200000XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Jimmy S Adra, MD?

The NPI number of Jimmy S Adra, MD is 1013050004. It was assigned on February 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Jimmy S Adra, MD?

Jimmy S Adra, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Jimmy S Adra, MD practice?

The practice location is 1100 9TH Ave, Seattle, WA 98101-2756. The office can be reached at 206-583-6079 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013050004 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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