Basic Information
Provider Information
NPI: 1760685861
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SORIANO
FirstName: BRIAN
MiddleName: D
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 50010
Address2:  
City: SEATTLE
State: WA
PostalCode: 981051010
CountryCode: US
TelephoneNumber: 2069878450
FaxNumber:  
Practice Location
Address1: 4800 SAND POINT WAY NE # G-0035
Address2:  
City: SEATTLE
State: WA
PostalCode: 981053901
CountryCode: US
TelephoneNumber: 2069872015
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/06/2007
LastUpdateDate: 11/22/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0202X217598MAY Allopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology

No ID Information.


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