Provider Demographics
NPI:1609871029
Name:DADA, ARINOLA F (MD)
Entity Type:Individual
Prefix:DR
First Name:ARINOLA
Middle Name:F
Last Name:DADA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 116TH AVE NE
Mailing Address - Street 2:STE C
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3817
Mailing Address - Country:US
Mailing Address - Phone:425-453-0766
Mailing Address - Fax:425-451-3560
Practice Address - Street 1:1310 116TH AVE NE
Practice Address - Street 2:STE C
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3817
Practice Address - Country:US
Practice Address - Phone:425-453-0766
Practice Address - Fax:425-451-3560
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00040325207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8803625Medicare PIN
WAH80692Medicare UPIN