Internal Medicine & Cardiology Inc PS

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00009454 Issued in WA

Legal business name

INTERNAL MEDICINE & CARDIOLOGY INC PS

Practice address

1207 N 200TH St
Suite 210
Shoreline, WA 98133-3213

Phone

(206) 546-3105

Fax

(206) 546-3211

NPI assigned

Sep 3, 2015

Last updated

Sep 10, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sassan Sanai, MD

Title

President

Phone

(206) 546-3105

Specialties & licenses 1

Addresses

Other names 1

• Internal Medicine & Cardiology Inc PS Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1235507534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 N 200TH ST",
            "address_2": "SUITE 210",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333213",
            "telephone_number": "206-546-3105",
            "fax_number": "206-546-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 N 200TH ST",
            "address_2": "SUITE 210",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333213",
            "telephone_number": "206-546-3105",
            "fax_number": "206-546-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE & CARDIOLOGY INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "SANAI",
        "authorized_official_first_name": "SASSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-546-3105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00009454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine & Cardiology Inc PS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Specialist in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.