Individual
DINESH VASUDEV PAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26458 MAPLE VALLEY BLACK DIAMOND RD SE, MAPLE VALLEY, WA 98038-8350
(425) 690-3465
(425) 690-9465
Mailing address
26458 MAPLE VALLEY BLACK DIAMOND RD SE, MAPLE VALLEY, WA 98038-8350
(425) 690-3465
(425) 690-9465
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD60118970
WA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
067375
MI
207Q00000X
Family Medicine Physician
Primary
MD60118970
WA
208D00000X
General Practice Physician
MD60118970
WA
Other
Enumeration date
06/08/2006
Last updated
02/20/2023
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