Provider Demographics
NPI:1578670154
Name:ZIVIN, ADAM H (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:H
Last Name:ZIVIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2701 1ST AVE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-1123
Mailing Address - Country:US
Mailing Address - Phone:206-448-2516
Mailing Address - Fax:206-448-6473
Practice Address - Street 1:1414 116TH AVE NE
Practice Address - Street 2:SUITE E
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3801
Practice Address - Country:US
Practice Address - Phone:206-215-4545
Practice Address - Fax:206-215-4550
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2020-10-07
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Provider Licenses
StateLicense IDTaxonomies
WAMD00036042207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0194896OtherL & I
WA8232589Medicaid
WAG74354Medicare UPIN
WA8232589Medicaid