Organization
SENTINEL HEALTHCARE WA
Active
Parent organization
SENTINEL HEALTHCARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SENTINEL HEALTHCARE CORPORATION
Authorized official
NIRAV H. SHAH MD (PHYSICIAN/OWNER)
(812) 760-5313
Entity
Organization
Contact information
Practice address
2220 76TH AVE SE, MERCER ISLAND, WA 98040-2114
(812) 760-5313
Mailing address
PO BOX 13308, MESA, AZ 85216-3308
(480) 335-1865
(914) 663-5152
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/11/2020
Last updated
09/06/2023
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