Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD60983280 | WA |
N | 2080P0204X | Pediatric Emergency Doctor | MD60983280 | WA |
Y | 2080P0208X | Pediatric Infectious Diseases | MD60983280 | WA |
NPI | 1003081456 |
---|---|
Provider Name | Dr. Indi Trehan |
First Address | Seattle, WA 98105-3901 |
Second Address | Seattle, WA 98105-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2008 |
Last Update Date | 15/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003081456 | (05) | WA |