Provider Demographics
NPI:1205027372
Name:PACMED CLINICS
Entity Type:Organization
Organization Name:PACMED CLINICS
Other - Org Name:DIAGNOSTIC & WELLNESS CENTER FOR WOMEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIKRAMSINH
Authorized Official - Middle Name:
Authorized Official - Last Name:DABHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-621-4618
Mailing Address - Street 1:1200 12TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-2712
Mailing Address - Country:US
Mailing Address - Phone:206-568-3800
Mailing Address - Fax:
Practice Address - Street 1:1200 12TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2712
Practice Address - Country:US
Practice Address - Phone:206-568-3800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PACMED CLINICS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-05
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000389052085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty