Individual
MIHIR A KSHIRSAGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-2520
(206) 386-3180
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61164736
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215429824
—
WA
Enumeration date
05/31/2018
Last updated
11/02/2021
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