Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mana Dissadee, MD

Individual provider Nephrology Physician · NPI 1720390206

Mr. Mana Dissadee, MD is a Nephrology in Mount Vernon, Washington. Qualified in 2002, 24 years ago. Practices with Public Hospital Dist No 1 Skagit, a 321-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Guam and Washington.

Years since qualifying
24
Licensed in
GU, WA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone: (360) 428-2600
Fax: (360) 814-8390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence MD61395772 (WA)
Nephrology Physician Taxonomy 207RN0300X · Licence M-2041 (GU)

Record details

NPI number1720390206
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2010
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023
Mailing address1400 E Kincaid St, Mount Vernon, WA 98274-4127

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Public Hospital Dist No 1 Skagit — 321 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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