Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD00044406 | WA |
N | 111NI0900X | Internist | MD00044406 | WA |
Y | 207RC0200X | Critical Care Medicine | MD00044406 | WA |
N | 207RP1001X | Pulmonary Disease | MD00044406 | WA |
N | 207RS0012X | Sleep Medicine | MD00044406 | WA |
NPI | 1053341099 |
---|---|
Provider Name | Ravinder Pal Singh Shergill |
First Address | Vancouver, WA 98683-6674 |
Second Address | Vancouver, WA 98683-6674 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 24/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G66027 | (02) | WA |