Individual
PEYMAN SOLTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2979 SQUALICUM PKWY STE 101, BELLINGHAM, WA 98225-1813
(360) 734-2700
(360) 734-8362
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1462
(360) 729-3104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60572173
WA
207RC0000X
Cardiovascular Disease Physician
MD60572173
WA
207RI0011X
Interventional Cardiology Physician
Primary
MD60572173
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036130974
—
IL
05
—
2050714
—
WA
01
—
214413006
MEDICARE
IL
Enumeration date
10/04/2007
Last updated
01/13/2020
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