Provider Demographics
NPI:1518258946
Name:MAYSOFT LLC
Entity Type:Organization
Organization Name:MAYSOFT LLC
Other - Org Name:WASHINGTON ELECTRODIAGNOSTICS AND REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:NIRIKSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALLADI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-420-3540
Mailing Address - Street 1:1597 25TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029-2623
Mailing Address - Country:US
Mailing Address - Phone:917-420-3540
Mailing Address - Fax:
Practice Address - Street 1:15436 BEL RED RD
Practice Address - Street 2:SUITE 100
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-5536
Practice Address - Country:US
Practice Address - Phone:425-562-2237
Practice Address - Fax:425-562-2236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00049049261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty