Celia M. Dastvan
MD | Pediatrics | Female
Celia M. Dastvan, MD is a Everett, Washington based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Celia M. Dastvan is
12800 Bothell Everett Hwy, Suite 190, Everett, Washington - 98208-6642. She can be contacted on phone at
425-316-5160 and fax number 425-316-5163.
Celia M. Dastvan is a sole proprietor of her business.
NPI number (Unique professional ID) for Celia M. Dastvan is
1346341377 which was assigned by NPPES on 25 Sep, 2006 and it was last updated on 24 May, 2021.
Celia M. Dastvan license number is
MD00030850 for Pediatrics (208000000X) in Washington.
Celia M. Dastvan is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Celia M. Dastvan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Celia M. Dastvan |
|---|
| Credential : | MD |
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| Gender : | Female |
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Business Address:
Celia M. Dastvan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 12800 Bothell Everett Hwy, Suite 190
Everett, WA, 98208-6642
United States |
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| Phone Number : | 425-316-5160 |
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| Fax Number : | 425-316-5163 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1346341377 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Sep, 2006 |
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| Last Updated On : | 24 May, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Celia M. Dastvan are as mentioned. Primary taxonomy code for Celia M. Dastvan, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD00030850 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Celia M. Dastvan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8146391 | MEDICAID | WA | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
2902 16TH ST SW BLDG E1,
LYNNWOOD, WA, 98087
United States | LYNNWOOD, WA | 425-741-7750 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | cdastvan122012@wm.providencedirect.org
| No affiliation | DIRECT
Direct
|
| 2902 16TH ST SW BLDG E1,
LYNNWOOD, WA, 98087
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 3360
Portland, OR, 97208-3360
United States |
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| Phone Number : | 866-366-2983 |
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Business Location:
Patients can refer following map for directions to
Celia M. Dastvan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.