Individual
GARGI GANGULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
820 S MCCLELLAN ST, SUITE 500, SPOKANE, WA 99204-2457
(509) 353-3950
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 353-3950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60597127
WA
390200000X
Student in an Organized Health Care Education/Training Program
MT203927
PA
Other
Enumeration date
08/07/2013
Last updated
05/19/2021
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