Individual ProviderSidra AslamInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1321 Colby Ave, Medical Staff Office, Everett, WA 98201-1665(425) 261-2000(866) 747-2455PECOS EnrollmentBased on the most recent information from CMS, provider Sidra Aslam is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1518194224Provider TypeIndividualFull NameAslam, SidraCredentialD.O.GenderFemaleSole ProprietorNoEnumeration Date6/19/2009Last Updated11/30/2015Contact InformationPractice LocationPractice Address1321 Colby Ave, Medical Staff Office, Everett, WA 98201-1665Phone(425) 261-2000FaxUnlisted FaxMailing LocationMailing AddressPO Box 3360, Portland, OR 97208-3360Phone(866) 747-2455FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseOP60295669WashingtonCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense125.055953IllinoisProvider IdentifiersIDDescriptionIssuerID2024691DescriptionMedicaidIssuerUnlistedWashington