Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD61107973 | WA |
N | 208600000X | Surgeon | MD61107973 | WA |
N | 2086X0206X | Surgical Oncologist | 65874 | WI |
Y | 2086X0206X | Surgical Oncologist | MD61107973 | WA |
NPI | 1043476328 |
---|---|
Provider Name | Dr. Harveshp Darabshah Mogal |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-3522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2008 |
Last Update Date | 01/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1043476328 | (05) | WA |