Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | MD0021975 | WA |
NPI | 1346309614 |
---|---|
Provider Name | Gayathri R Vatsia |
First Address | Kennewick, WA 99336 |
Second Address | Kennewick, WA 99336 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E52250 | (02) |