Individual
SOURABH KUBAWAT
Active
Individual
SOURABH KUBAWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.097309
OH
207R00000X
Internal Medicine Physician
Primary
MD60934552
WA
208M00000X
Hospitalist Physician
MD60934552
WA
Other
Enumeration date
01/11/2011
Last updated
02/11/2020
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