Mana Dissadee, M.D.

Nephrology Physician · Mount Vernon, WA

Individual Active NPI

NPI number 1720390206

Practice location

1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone
(360) 428-2600
Fax
(360) 814-8390

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NPI record

NPI
1720390206
Entity type
Individual (Type 1)
Enumeration date
July 13, 2010
Last updated
August 3, 2023
Certified
August 3, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nephrology Physician Primary 207RN0300X MD61395772 WA
Nephrology Physician 207RN0300X M-2041 GU

Mailing address

1400 E Kincaid St
Mount Vernon, WA 98274-4127

About Dr. Dissadee

Mana Dissadee, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Nephrology Physician (code 207RN0300X). The practice location is 1415 E Kincaid St, Mount Vernon, WA 98274-4126. The NPI number 1720390206 was assigned on July 13, 2010 and the record was last updated on August 3, 2023.

Dr. Dissadee lists 2 licenses in the registry: #MD61395772 (WA) for Nephrology Physician; #M-2041 (GU) for Nephrology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mana Dissadee, M.D.?

The NPI number is 1720390206.

What is the phone number of Dr. Dissadee?

The phone number listed for the practice location is (360) 428-2600.

Where is Dr. Dissadee located?

1415 E Kincaid St, Mount Vernon, WA 98274-4126.

What is the taxonomy code for Dr. Dissadee?

The primary taxonomy code is 207RN0300X – Nephrology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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