Broudy, David R

Broudy, David R is an individual health care provider with primary practice located at 1414 116Th Ave Ne Suite E, Bellevue WA 98004-3801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Broudy, David R can be contacted via phone (206) 215-4545.

Contact Information

Primary practice address
1414 116Th Ave Ne Suite E Bellevue WA 98004-3801
Phone: (206) 215-4545
Fax: (206) 215-4550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD00020198 Washington

Profile Details

NPI number 1518922665
LBN Legal business name Broudy, David R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Dec 5th, 2008 - about 16 years 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 1518922665 NPPES
Washington Other 0194900 L & I
Washington MEDICAID 1002823 L & I

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