Provider Demographics
NPI:1720140619
Name:ALLCARE MEDICAL CLINIC INC.
Entity Type:Organization
Organization Name:ALLCARE MEDICAL CLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DHIREN
Authorized Official - Middle Name:N
Authorized Official - Last Name:AJUDIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-255-0055
Mailing Address - Street 1:148 PARK AVE N
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-5719
Mailing Address - Country:US
Mailing Address - Phone:425-255-0055
Mailing Address - Fax:425-255-9501
Practice Address - Street 1:148 PARK AVE N
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-5719
Practice Address - Country:US
Practice Address - Phone:425-255-0055
Practice Address - Fax:425-255-9501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty