Bautista, Andre Barranda

Bautista, Andre Barranda is an individual health care provider with primary practice located at 2502 S Union Ave , Tacoma WA 98405-1328. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Bautista, Andre Barranda can be contacted via phone (253) 841-4653.

Contact Information

Primary practice address
2502 S Union Ave Tacoma WA 98405-1328
Fax: (253) 446-3973
Website:

Profile Details

NPI number 1164665444
LBN Legal business name Bautista, Andre Barranda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2009
Last updated Apr 25th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164665444 NPPES
Washington MEDICAID 2044117

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