ROBERT M GANNAN MD PHD NPI 1811976533

NPI Information

  • NPI: 1811976533
  • Provider Name: ROBERT M GANNAN, MD PHD
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • Address: 1135 116TH AVE NE
    560
    BELLEVUE, WA
    ZIP 98004
  • Phone: (425) 454-4768

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NPI Details

Robert M Gannan, MD PHD is a gastroenterology internal medicine in Bellevue, WA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Robert M Gannan, MD PHD NPI is 1811976533. 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
560
BELLEVUE, WA
ZIP 98004-623
Phone: (425) 454-4768
Fax: (425) 462-8021

The enumeration date for this NPI number is 1/11/2006 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
1207RG0100XInternal MedicineGastroenterology16481WASHINGTONYes

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
196596OTHERWASHINGTONL & I
2A04525MEDICARE UPIN
3AB04652MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
41165208MEDICAIDWASHINGTON

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: 3/30/2025

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