Basic Information
Provider Information
NPI: 1528092087
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZUNDEL
FirstName: PATRICIA
MiddleName: SATITPUNWAYCHA
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 24503
Address2: SEATTLE
City: SEATTLE
State: WA
PostalCode: 981240503
CountryCode: US
TelephoneNumber: 4254514141
FaxNumber: 4254514144
Practice Location
Address1: 1135 116TH AVE NE
Address2: SUITE 310
City: BELLEVUE
State: WA
PostalCode: 980044623
CountryCode: US
TelephoneNumber: 4254514141
FaxNumber: 4254514144
Other Information
ProviderEnumerationDate: 07/10/2006
LastUpdateDate: 07/25/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XMD00040052WAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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