Provider Demographics
NPI:1316985856
Name:NAYAN, ALVIN (MD)
Entity type:Individual
Prefix:
First Name:ALVIN
Middle Name:
Last Name:NAYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 34935
Mailing Address - Street 2:DEPT # 73
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-1935
Mailing Address - Country:US
Mailing Address - Phone:206-243-9675
Mailing Address - Fax:206-242-5630
Practice Address - Street 1:13030 MILITARY RD S
Practice Address - Street 2:SUITE 100
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98168-3085
Practice Address - Country:US
Practice Address - Phone:206-243-9675
Practice Address - Fax:206-242-5630
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2009-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD000398662083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAH40555Medicare UPIN