Provider Demographics
NPI:1700895000
Name:MERGUERIAN, PAUL ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ARTHUR
Last Name:MERGUERIAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4800 SAND POINT WAY NE # MSW-7229
Mailing Address - Street 2:DIVISION OF PEDIATRIC UROLOGY
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3901
Mailing Address - Country:US
Mailing Address - Phone:206-987-1623
Mailing Address - Fax:206-987-3925
Practice Address - Street 1:4800 SAND POINT WAY NE # MSW-7229
Practice Address - Street 2:DIVISION OF PEDIATRIC UROLOGY
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-1623
Practice Address - Fax:206-987-3925
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2011-11-01
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Provider Licenses
StateLicense IDTaxonomies
WAMD602381952088P0231X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
No208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0001230Medicaid
NH80001230Medicaid
WAG8903506Medicare PIN
NH80001230Medicaid
NHRE772002Medicare PIN
E68452Medicare UPIN