Maranatha Medical Clinic Inc P S
NPI 1205164639ActiveOrganization· Internal Medicine· Renton, WA
Internal Medicine in Renton, Washington, registered in NPPES in November 2009. The authorized official on file is Dan L. Grav Es, MD, President.
Overview
| NPI | 1205164639 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 23, 2009 |
| Last updated in NPPES | Sep 11, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 17917 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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