Telly R Russell, MD
Telly R Russell, MD is a Family Practice in Maple Valley, Washington. Graduated from Georgetown University School of Medicine in 2011, 15 years ago. Practices with Valley Medical Group-Renton, a 422-clinician group and accepts Medicare assignment. Licensed in Washington.
- Years since qualifying
- 15
- Trained at
- Georgetown University School of Medicine
- Licensed in
- WA
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
26458 Maple Valley Black Diamond Rd SE Ste AMaple Valley, WA 98038-8350
Phone: (425) 690-3465
Fax: (425) 690-9460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence MD60403590 (WA) |
|---|---|
| Hospitalist Physician | Taxonomy 208M00000X · Licence MD60403590 (WA) |
Record details
| NPI number | 1780978338 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 31, 2011 |
| Last updated in NPPES | March 26, 2020 |
| Certification date | March 26, 2020 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Also practises | HOSPITALIST |
| Medical school | GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2011 (15 years in practice) |
| Group practice | Valley Medical Group-Renton — 422 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |