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Individual

JASDEEP S. DALAWARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1016 TACOMA AVE, SUNNYSIDE, WA 98944-2263
(509) 837-1500
(509) 837-4908
Mailing address
1858 GREY OAKS PARK LN, GLEN ALLEN, VA 23059-5798
(918) 699-9525

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101237240
VA
207P00000X
Emergency Medicine Physician
036142259
IL
207R00000X
Internal Medicine Physician
036142259
IL
207RC0000X
Cardiovascular Disease Physician
0101237240
VA
207RC0000X
Cardiovascular Disease Physician
036142259
IL
207RC0000X
Cardiovascular Disease Physician
2477
WI
207RC0000X
Cardiovascular Disease Physician
2477-320
WI
207RI0011X
Interventional Cardiology Physician
036.142259
IL
207RI0011X
Interventional Cardiology Physician
2477
WI
207RI0011X
Interventional Cardiology Physician
29785
WV
207RI0011X
Interventional Cardiology Physician
50655
KY
207RI0011X
Interventional Cardiology Physician
MC-1386
ID
207RI0011X
Interventional Cardiology Physician
Primary
MD61299124
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2173473
WA
01
P00803509
RAILROAD MEDICARE TO GRP DN7755
Enumeration date
05/09/2006
Last updated
07/07/2025
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