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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194038851 | NPPES |
| Washington | MEDICAID | 2020164 |
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