Provider Demographics
NPI:1154376382
Name:RIEDO, FRANCIS X (MD)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:X
Last Name:RIEDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11911 NE 132ND ST
Mailing Address - Street 2:STE 100
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034
Mailing Address - Country:US
Mailing Address - Phone:425-899-5100
Mailing Address - Fax:425-899-5105
Practice Address - Street 1:11911 NE 132ND ST
Practice Address - Street 2:STE 100
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034
Practice Address - Country:US
Practice Address - Phone:425-899-5100
Practice Address - Fax:425-899-5105
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWA28273207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA440000996OtherRAILROAD MEDICARE
WA1075498Medicaid
D67624Medicare UPIN
WA104775Medicare ID - Type Unspecified