Individual
JASDIP MATHARU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 416-8849
(509) 542-3059
Mailing address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 416-8849
(509) 542-3059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60320115
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD60320115
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD60320115
WA
Other
Enumeration date
07/24/2007
Last updated
06/28/2013
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