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Dr. Greta Tan Go, MD
Pediatric Radiology Physician in Lynnwood, Washington
NPI 1578540480

Greta Tan Go is a Pediatric Radiology Physician based in Lynnwood, WA and is specialized in Pediatric Radiology. Greta Tan Go practices in Lynnwood, WA and has the professional credentials of MD. The NPI Number for Greta Tan Go is 1578540480 and holds a License No. M-12399 (Washington).

The current practice location address for Greta Tan Go is 19020 33Rd Ave W Ste 210, Lynnwood, WA and can be reached out via phone at 425-563-1500 and via fax at 425-563-1501.

Location: 19020 33Rd Ave W Ste 210, Lynnwood, WA, 98036-4748
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Provider Profile Details
NPI Number
1578540480
Provider Name
Greta Tan Go
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
19020 33Rd Ave W Ste 210, Lynnwood, WA, 98036-4748
Phone Number
425-563-1500
Fax Number
425-563-1501
Provider Enumeration Date
12/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
164154 01 WA L&I PROVIDER NUMBER
204103 01 WA LNI PROVIDER ID
135883 01 WA LNI PROVIDER ID
139425 01 WA L&I PROVIDER NUMBER
8254997 05 WA
1578540480 05 ID
213704 01 WA LNI PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
19020 33Rd Ave W Ste 210
City
State
Zip
98036-4748
Phone Number
425-563-1500
Fax Number
425-563-1501
person
Provider Business Mailing Address Details
Address
19020 33Rd Ave W Ste 210
City
State
Zip
98036-4748
Phone Number
425-563-1500
Fax Number
425-563-1501
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
License No.
MD00038515 (Washington)
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
M-12399 (Idaho)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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