Demola Asebiode, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI 1205528809 · NPPES record last updated May 22, 2023

Key facts

NPI
1205528809
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1959 NE Pacific St
Seattle, WA 98195-0001
Phone
(206) 543-2474
Fax
(206) 542-2958
NPI assigned
May 22, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1959 NE Pacific St
Seattle, WA 98195-0001

Mailing address

1959 NE Pacific St Box 356540
Seattle, WA 98195-0001
Phone (206) 543-2474

Other providers in Seattle, WA

All providers in Seattle, WA · Student in an Organized Health Care Education/Training Program in Washington

Sources for this page

Verify at the official NPI Registry.