Provider Demographics
NPI:1225256845
Name:KURES, PETER R (MD,)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:R
Last Name:KURES
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 1:13033 BEL RED RD STE 230
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2633
Mailing Address - Country:US
Mailing Address - Phone:425-454-1560
Mailing Address - Fax:425-974-2341
Practice Address - Street 1:13033 BELLEVUE REDMOND RD
Practice Address - Street 2:SUITE 230
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2633
Practice Address - Country:US
Practice Address - Phone:425-454-1560
Practice Address - Fax:425-974-2341
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD0035998207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG77740Medicare UPIN