Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | MD60406739 | WA |
NPI | 1811196686 |
---|---|
Provider Name | Dr. Sonal S. Avasare |
First Address | Salt Lake City, UT 84125-0608 |
Second Address | Seattle, WA 98104-1306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2007 |
Last Update Date | 02/01/2014 |