Esravila Ariya Wibisono, MD
Esravila Ariya Wibisono, MD is an Internal Medicine in Bonney Lake, Washington. Qualified in 2018, 8 years ago. Practices with Multicare Health System, a 2,302-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Washington.
- Years since qualifying
- 8
- Licensed in
- CT, WA
- In the registry since
- 2022
- 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
Bonney Lake, WANo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 56 Franklin St Ste 1, Waterbury, CT 06706-1281 — (203) 709-8685
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence MD61603415 (WA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 06-0646844 (CT) |
Record details
| NPI number | 1972233708 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 14, 2022 |
| Last updated in NPPES | July 31, 2025 |
| Certification date | July 31, 2025 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Multicare Health System — 2302 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Bonney Lake
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Donovan Richard Hofstrand
Student / training record Bonney Lake, WA
-
Rylie Linford
Student / training record Bonney Lake, WA
-
Barbara Neto
Student / training record Bonney Lake, WA
-
Dr. Kamyar Vaziri, MD
Student / training record Bonney Lake, WA