Active NPIIndividual providerSole proprietor

Makeda E Agonafer, MD

Psychiatry & Neurology, Neurology in Renton, Washington

NPI Number1215371935
Practice location
400 S 43RD St, Renton, WA 98055-5714
Fax
425-690-9585
Last updated
July 21, 2022

Makeda E Agonafer, MD is a Psychiatry & Neurology, Neurology based in Renton, WA. Makeda E Agonafer, MD holds the professional credentials of MD. The NPI number for Makeda E Agonafer, MD is 1215371935 and holds license No. MD60638977 (WA). The current practice location address is 400 S 43RD St, Renton, WA 98055-5714 and the office can be reached by phone at 425-690-3585 and by fax at 425-690-9585. The NPI was assigned on April 24, 2013 and the record was last updated in NPPES on July 21, 2022.

●Provider Profile Details

NPI Number
1215371935
Provider Name
Makeda E Agonafer
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X
Sole Proprietor
Yes
Enumeration Date
April 24, 2013
Last Update Date
July 21, 2022
Certification Date
August 18, 2021
NPI Status
Active

◉Business Practice Location Address

Address
400 S 43RD St
Renton, WA 98055-5714
City
Renton
ZIP
98055-5714
Country
US
Phone Number
425-690-3585
Fax Number
425-690-9585

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✉Business Mailing Address

Address
3600 Lind Ave SW
Suite 100 Attn Credentialing
Renton, WA 98057-4970
City
Renton
State
WA
ZIP
98057-4970
Phone Number
425-690-2715

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Psychiatry & Neurology, Neurology2084N0400XYesMD60638977WA
Psychiatry & Neurology, Neurology2084N0400XNoMd60638977WA

#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 Makeda E Agonafer, MD?

The NPI number of Makeda E Agonafer, MD is 1215371935. It was assigned on April 24, 2013 and is currently active in the NPPES registry.

What is the specialty of Makeda E Agonafer, MD?

Makeda E Agonafer, MD is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X) and holds license No. MD60638977 (WA).

Where does Makeda E Agonafer, MD practice?

The practice location is 400 S 43RD St, Renton, WA 98055-5714. The office can be reached at 425-690-3585 (phone) or 425-690-9585 (fax).

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 1215371935 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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