Individual
DR. STEPHEN JEBARAJ PAKKIANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 W 8TH AVE STE 6020, SPOKANE, WA 99204-2319
(509) 455-5050
(509) 747-5391
Mailing address
105 W 8TH AVE STE 6020, SPOKANE, WA 99204-2319
(509) 455-5050
(509) 747-5391
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60310359
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022661
—
WA
Enumeration date
07/16/2007
Last updated
01/19/2021
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