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GANDIS G MAZEIKA MD PS NPI 1639117393


NPI Information

NPI: 1639117393
Provider Name: GANDIS G MAZEIKA MD PS

Doing Business As: SLEEP MEDICINE NORTHWEST

Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
21701 76TH AVE W STE 206
EDMONDS, WA
ZIP 98026
Phone: (425) 636-2400
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GANDIS G MAZEIKA MD PS is a sleep disorder diagnostic clinic center in Edmonds, WA. GANDIS G MAZEIKA MD PS NPI is 1639117393. The provider is registered as an organization entity type.
The provider Is Doing Business As Sleep Medicine Northwest.

The provider's business location address is:

21701 76TH AVE W STE 206
EDMONDS, WA
ZIP 98026-536
Phone: (425) 636-2400
Fax: (425) 636-2401

The provider's authorized official is Gandis G Mazeika .
The authorized official title is President and has the following contact phone number (425) 636-2400.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 10/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS1200XClinic/CenterSleep Disorder DiagnosticMD000386959WASHINGTONNo
2261QS1200XClinic/CenterSleep Disorder DiagnosticRN00103961WASHINGTONNo
3261QS1200XClinic/CenterSleep Disorder DiagnosticMD00044962WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11110972MEDICAIDWASHINGTON
2MD00038659OTHERWASHINGTONLICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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