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ACCENTCARE MEDICAL GROUP OF WASHINGTON, P.C.

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Company Details

Legal Name: ACCENTCARE MEDICAL GROUP OF WASHINGTON, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 30th 2023
Expiration date: 31 Jan 2026
UBI Number: 605 023 823
Home State: TEXAS
Principal Office Street Address: Google Maps Logo 17855 DALLAS PKWY, SUITE 200, DALLAS, TX, 75287-6857, UNITED STATES

Contact Details

E-Mail: DONNALEAVELLE@ACCENTCARE.COM
Phone Number: +1 972-201-9168

Nature of Business

Health Care, Social Assistance & Service Organization, MEDICAL AND HEALTHCARE SERVICES

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role Address
BALAKRISHNAN NATARAJAN, M.D. Governing Person -
DENA SCHWARTZ-DOTY Governing Person -
BALAKRISHNAN NATARAJAN, M.D. Incorporator 17855 DALLAS PKWY STE 200, DALLAS, TX, 75287-6857, UNITED STATES

National Provider Identifier

NPI Number:
1801630694
Certification Date:
2024-06-25

Authorized Person:

Name:
CARRIE BILL
Role:
VP REIMBURSEMENT
Phone:

Taxonomy:

Selected Taxonomy:
207QH0002X - Hospice and Palliative Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

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