Provider Demographics
NPI:1174899090
Name:HAWES, MEGHAAN PAULI (MD)
Entity type:Individual
Prefix:
First Name:MEGHAAN
Middle Name:PAULI
Last Name:HAWES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEGHAAN
Other - Middle Name:PAULI
Other - Last Name:WALSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 50095
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98145-5095
Mailing Address - Country:US
Mailing Address - Phone:206-543-6420
Mailing Address - Fax:206-744-6988
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2420
Practice Address - Country:US
Practice Address - Phone:206-744-3000
Practice Address - Fax:206-744-6988
Is Sole Proprietor?:No
Enumeration Date:2012-03-25
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60489934208M00000X
WAMD 60489934207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1174899090Medicaid
WA8940043OtherMEDICARE PIN
WA8940043Medicare PIN