Provider Demographics
NPI:1972792331
Name:CHAN PATEL AND LLUO LLP
Entity type:Organization
Organization Name:CHAN PATEL AND LLUO LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-621-8883
Mailing Address - Street 1:611 MAYNARD AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2920
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:611 MAYNARD AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2920
Practice Address - Country:US
Practice Address - Phone:206-621-8883
Practice Address - Fax:206-621-9328
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHAN PATEL AND LLUO LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAFO587703336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4932720OtherOTHER ID NUMBER