Mitra Hanjani (NPI# 1881897601, PAC ID# 9638358450) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1881897601 |
| PAC ID by PECOS | 9638358450 |
| Professional Enrollment ID | I20170831003389 |
| Full Name | Mitra Hanjani |
| Organization Legal Name | NORTHWESTERN HEALTHCARE MANAGEMENT SERVICES, LLC |
| Address |
4401 Bridgeport Way W University Place WA 98466-4201 |
| Phone Number | 2535644157 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2365715026 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4401 Bridgeport Way W, University Place, WA 98466-4201 | 2535644157 | NORTHWESTERN HEALTHCARE MANAGEMENT SERVICES, LLC |
| Organization Legal Name | NORTHWESTERN HEALTHCARE MANAGEMENT SERVICES, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn J Kietzer | General Practice | Northwestern Healthcare Management Services, LLC | 4401 Bridgeport Way W, University Place, WA 98466-4201 |
| Peggy A Smith | Nurse Practitioner | Northwestern Healthcare Management Services, LLC | 4401 Bridgeport Way W, University Place, WA 98466-4201 |
| Timothy M Kobernik | Family Medicine | Northwestern Healthcare Management Services, LLC | 4401 Bridgeport Way W, University Place, WA 98466-4201 |
| Malisa Marie Hammett | Nurse Practitioner | Northwestern Healthcare Management Services, LLC | 4401 Bridgeport Way W, University Place, WA 98466-4201 |
| Bruce Randall Lanum | Nurse Practitioner | Northwestern Healthcare Management Services, LLC | 4401 Bridgeport Way W, University Place, WA 98466-4201 |
| Street Address |
4401 BRIDGEPORT WAY W |
| City | UNIVERSITY PLACE |
| State | WA |
| Zip | 98466-4201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn J Kietzer | General Practice | Northwestern Healthcare Management Services, LLC | 4401 Bridgeport Way W, University Place, WA 98466-4201 |
| Peggy A Smith | Nurse Practitioner | Northwestern Healthcare Management Services, LLC | 4401 Bridgeport Way W, University Place, WA 98466-4201 |
| Timothy M Kobernik | Family Medicine | Northwestern Healthcare Management Services, LLC | 4401 Bridgeport Way W, University Place, WA 98466-4201 |
| Malisa Marie Hammett | Nurse Practitioner | Northwestern Healthcare Management Services, LLC | 4401 Bridgeport Way W, University Place, WA 98466-4201 |
| Bruce Randall Lanum | Nurse Practitioner | Northwestern Healthcare Management Services, LLC | 4401 Bridgeport Way W, University Place, WA 98466-4201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick G Garlock | Physical Therapy | 3120 Soundview Dr W, University Place, WA 98466-1612 | |
| David S Hays | Optometry | Vision Care Associates Pllc | 8204 27th W St, University Place, WA 98466-2719 |
| Kim P Eckroth | Optometry | Vision Care Associates Pllc | 8204 27th W St, University Place, WA 98466-2719 |
| Keagan Tice | Physical Therapy | Multicare Health System | 7727 40th St W, Suite A, University Place, WA 98466-3146 |
| Brooks F Kenderdine | Physical Therapy | Multicare Health System | 7727 40th St W, Suite A, University Place, WA 98466-3146 |
| Katherine Jane Beaber | Physical Therapy | Multicare Health System | 7727 40th St W, Suite A, University Place, WA 98466-3146 |
| David J Dramm | Physical Therapy | Multicare Health System | 7727 40th St W, Suite A, University Place, WA 98466-3146 |
| Kathryn Myers | Physical Therapy | Multicare Health System | 7727 40th St W, Suite A, University Place, WA 98466-3146 |
| Wesley Geer | Physical Therapy | Multicare Health System | 7727 40th St W, Suite A, University Place, WA 98466-3146 |
| Kayla M Keniston | Physical Therapy | Multicare Health System | 7727 40th St W, Suite A, University Place, WA 98466-3146 |
| Find all physicians in zip 98466 | |||
| City | UNIVERSITY PLACE |
| Zip Code | 98466 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | UNIVERSITY PLACE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mitra Hanjani.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.