Provider Demographics
NPI:1649213364
Name:TASWIN, MELDY (MD)
Entity Type:Individual
Prefix:
First Name:MELDY
Middle Name:
Last Name:TASWIN
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 1:2930 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-2823
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2930 MAPLE ST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-2823
Practice Address - Country:US
Practice Address - Phone:425-261-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00044587207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1982TAOtherREGENCE RIDER NUMBER
WA911203494CBOtherKPS PROVIDER NUMBER
WA7227623OtherAETNA PROVIDER NUMBER
WA0197417OtherL & I PROVIDER NUMBER
WA8425829Medicaid
WA98390B030OtherTRICARE PROVIDER NUMBER
WA7227623OtherAETNA PROVIDER NUMBER
WA911203494CBOtherKPS PROVIDER NUMBER
WA8858996Medicare ID - Type Unspecified