GARY G BENJAMIN, MD TACOMA, WA

Contact Information

GARY G BENJAMIN, MD

1304 FAWCETT AVE STE 100
TACOMA, WA 98402-1900

Phone: 253-761-4200
Fax: 253-761-4201
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for GARY G BENJAMIN · (Male)

NPI Number	`1164595286`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	11/16/2006
Last updated	05/13/2019 - About 7 years ago
Sole proprietor ¹	No
Identifiers	OR License # MD21111 WA License # MD00034148 OR Medicaid 500670859 WA Medicaid 1031136 WA Other 0372658 L&I-DIAGNOSTIC IMAGING NW WA Other 0127162 L&I-TRA KING COUNTY WA Other 0335999 L&I-TRA REST OF WA WA Other 0186167 L&I-UNION AVE OPEN MRI
Hospital affiliation(s)	HIGHLINE MEDICAL CENTER - (Acute Care) 16251 SYLVESTER ROAD SW BURIEN, WA 98166 SAINT CLARE HOSPITAL - (Acute Care) 11315 BRIDGEPORT WAY S W LAKEWOOD, WA 98499 ST ANTHONY HOSPITAL - (Acute Care) 11567 CANTERWOOD BOULEVARD NW GIG HARBOR, WA 98332 ST FRANCIS COMMUNITY HOSPITAL - (Acute Care) 34515 9TH AVENUE SOUTH FEDERAL WAY, WA 98003 ST JOSEPH MEDICAL CENTER - (Acute Care) 1717 SOUTH J STREET TACOMA, WA 98405

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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GARY G BENJAMIN, MD – NPI #1164595286Vascular & Interventional Radiology

Contact Information

Specialty

Vascular & Interventional Radiology

Diagnostic Radiology

NPI Profile & details for GARY G BENJAMIN · (Male)

Reviews for GARY G BENJAMIN

GARY G BENJAMIN, MD – NPI #1164595286
Vascular & Interventional Radiology