Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD60443561 | WA |
NPI | 1033382866 |
---|---|
Provider Name | Dr. Amitoz Singh Manhas |
First Address | Portland, OR 97208-3360 |
Second Address | Spokane, WA 99204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2008 |
Last Update Date | 17/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G8938376 | (02) | WA |