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Individual

SOURABH KUBAWAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 946-4611
(509) 942-2185
Mailing address
550 GAGE BLVD, STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983

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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