Provider Demographics
NPI:1497147094
Name:TELEHOSPITALIST SERVICES
Entity Type:Organization
Organization Name:TELEHOSPITALIST SERVICES
Other - Org Name:VIGILIAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:YAGHMAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-924-8140
Mailing Address - Street 1:3113 NE 65TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-7228
Mailing Address - Country:US
Mailing Address - Phone:800-924-8140
Mailing Address - Fax:
Practice Address - Street 1:3113 NE 65TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-7228
Practice Address - Country:US
Practice Address - Phone:800-924-8140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-19
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-33447207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty