Provider Demographics
NPI:1669568382
Name:MYINT, ERANE K L (MD)
Entity type:Individual
Prefix:
First Name:ERANE
Middle Name:K L
Last Name:MYINT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ERANE
Other - Middle Name:K L
Other - Last Name:HUIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1229 MADISON ST STE 1290
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3568
Mailing Address - Country:US
Mailing Address - Phone:206-486-8420
Mailing Address - Fax:206-486-8423
Practice Address - Street 1:1229 MADISON ST STE 1290
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3568
Practice Address - Country:US
Practice Address - Phone:206-486-8420
Practice Address - Fax:206-486-8423
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00038355207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD9019WMedicaid
WA1102256031OtherRAILROAD MEDICARE
WA8263816Medicaid
WA1102256031OtherRAILROAD MEDICARE
AKMD9019WMedicaid