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Individual

SIDAKPAL SINGH PANAICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
550 17TH AVE FL 6, SEATTLE, WA 98122-5788
(206) 215-4545
(206) 215-4550
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61325049
WA
207RC0000X
Cardiovascular Disease Physician
MD61325049
WA
207RI0011X
Interventional Cardiology Physician
Primary
MD61325049
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2224193
WA
Enumeration date
07/18/2009
Last updated
12/05/2023
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