Basic Information
| Provider Information | |||||||||
| NPI: | 1548498157 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ANDREWS | ||||||||
| FirstName: | INNA | ||||||||
| MiddleName: | V | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 25608 | ||||||||
| Address2: | |||||||||
| City: | SALT LAKE CITY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 841250608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063204476 | ||||||||
| FaxNumber: | 2065687043 | ||||||||
| Practice Location | |||||||||
| Address1: | 5300 TALLMAN AVE NW | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981073932 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2062152520 | ||||||||
| FaxNumber: | 2063863180 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/23/2009 | ||||||||
| LastUpdateDate: | 08/08/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 60275148 | WA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD60275148 | WA | N | Allopathic & Osteopathic Physicians | Family Medicine | 208M00000X | MD60275148 | WA | Y | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | MD60275148 | WA | N | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.