Provider Demographics
NPI:1144210048
Name:VEGH, ARTHUR B (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:B
Last Name:VEGH
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 1:1901 S UNION AVE
Mailing Address - Street 2:STE B 6010
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1806
Mailing Address - Country:US
Mailing Address - Phone:253-383-4721
Mailing Address - Fax:253-627-4296
Practice Address - Street 1:1901 S UNION AVE
Practice Address - Street 2:STE B 6010
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1806
Practice Address - Country:US
Practice Address - Phone:253-383-4721
Practice Address - Fax:253-627-4296
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00026151207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8202467Medicaid
A03350Medicare UPIN