Provider Demographics
NPI:1801083258
Name:GABOR KOVES, MD, LLC
Entity type:Organization
Organization Name:GABOR KOVES, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABOR
Authorized Official - Middle Name:
Authorized Official - Last Name:KOVES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-243-2501
Mailing Address - Street 1:PO BOX 34936
Mailing Address - Street 2:DEPT 2016
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-1936
Mailing Address - Country:US
Mailing Address - Phone:206-439-4895
Mailing Address - Fax:206-431-3939
Practice Address - Street 1:16233 SYLVESTER RD SW
Practice Address - Street 2:SUITE G40
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-3045
Practice Address - Country:US
Practice Address - Phone:206-243-2501
Practice Address - Fax:206-243-8577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00040721207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAH56731Medicare PIN