MARK DAVID HAFERMANN NPI 1730264532

NPI Information

NPI: 1730264532
Provider Name: MARK DAVID HAFERMANN
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

Address:
1135 116TH AVE NE
SUITE 160
BELLEVUE, WA
ZIP 98004
Phone: (425) 688-5289
Get Directions

Mark David Hafermann is a radiation oncology radiology in Bellevue, WA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Mark David Hafermann NPI is 1730264532. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1135 116TH AVE NE
SUITE 160
BELLEVUE, WA
ZIP 98004-623
Phone: (425) 688-5289

The enumeration date for this NPI number is 10/27/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	MD00006018	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8265301	MEDICAID	WASHINGTON
2	2743	OTHER		INTERNAL ID-MOTOR VEHICLE ID
3	A04626	MEDICARE UPIN
4	AB36854	MEDICARE ID-TYPE UNSPECIFIED

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

NPI Synchronization or Removal

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