Provider Demographics
NPI:1508460080
Name:YUMUL, FIRUZ (MD)
Entity Type:Individual
Prefix:DR
First Name:FIRUZ
Middle Name:
Last Name:YUMUL
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 1:1415 E KINCAID ST
Mailing Address - Street 2:GRADUATE MEDICAL EDUCATION
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98274-4126
Mailing Address - Country:US
Mailing Address - Phone:360-814-2349
Mailing Address - Fax:360-428-2215
Practice Address - Street 1:1415 E KINCAID ST
Practice Address - Street 2:GRADUATE MEDICAL EDUCATION
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98274-4126
Practice Address - Country:US
Practice Address - Phone:360-814-2349
Practice Address - Fax:360-428-2215
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program