Individual
SANJIV KASHYAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 259-0966
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004984
NY
363A00000X
Physician Assistant
Primary
PA10003587
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2079968
—
WA
Enumeration date
02/01/2007
Last updated
03/17/2018
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