Provider Demographics
NPI:1558885210
Name:SOUND INTEGRATED HEALTH LLC
Entity Type:Organization
Organization Name:SOUND INTEGRATED HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ATIF
Authorized Official - Middle Name:
Authorized Official - Last Name:MIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:253-651-2486
Mailing Address - Street 1:PO BOX 65695
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98464-1695
Mailing Address - Country:US
Mailing Address - Phone:253-651-2498
Mailing Address - Fax:
Practice Address - Street 1:3640 S CEDAR ST STE M
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-5700
Practice Address - Country:US
Practice Address - Phone:253-478-0827
Practice Address - Fax:253-799-7197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-02
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD35804207R00000X, 207RA0401X
251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty