Provider Demographics
NPI:1194832667
Name:DINGES, WARREN LEWIS (MD, PHD)
Entity type:Individual
Prefix:
First Name:WARREN
Middle Name:LEWIS
Last Name:DINGES
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 OLIVE WAY
Mailing Address - Street 2:SUITE 752
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1773
Mailing Address - Country:US
Mailing Address - Phone:206-682-3444
Mailing Address - Fax:206-682-3555
Practice Address - Street 1:509 OLIVE WAY
Practice Address - Street 2:SUITE 752
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1773
Practice Address - Country:US
Practice Address - Phone:206-682-3444
Practice Address - Fax:206-682-3555
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00045553207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8559031Medicaid
WA8559031Medicaid