Provider Demographics
NPI:1871582197
Name:PARAS, LEILANI D (MD)
Entity type:Individual
Prefix:MRS
First Name:LEILANI
Middle Name:D
Last Name:PARAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1200 112TH AVE NE
Mailing Address - Street 2:STE C160
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3732
Mailing Address - Country:US
Mailing Address - Phone:425-453-1039
Mailing Address - Fax:425-453-8955
Practice Address - Street 1:1200 112TH AVE NE
Practice Address - Street 2:STE C160
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3732
Practice Address - Country:US
Practice Address - Phone:425-453-1039
Practice Address - Fax:425-453-8955
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2007-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00043476207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8805629Medicaid
I11579Medicare UPIN
WA8805629Medicaid