Komarova, Irina

Komarova, Irina is an individual health care provider with primary practice located at 11315 Bridgeport Way Sw , Lakewood WA 98499-3004. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Komarova, Irina can be contacted via phone (253) 426-6341.

Contact Information

Primary practice address
11315 Bridgeport Way Sw Lakewood WA 98499-3004
Phone: (253) 426-6341
Fax: (253) 426-6344
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD60257711 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 60257711 Washington

Profile Details

NPI number 1194038851
LBN Legal business name Komarova, Irina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2010
Last updated Jan 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194038851 NPPES
Washington MEDICAID 2020164

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