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Individual

SURENDER K WADHWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
217 TORBETT STREET, SUITE 101, RICHLAND, WA 99354
(509) 943-3185
(509) 946-8012
Mailing address
217 TORBETT STREET, SUITE 101, RICHLAND, WA 99354
(509) 943-3185
(509) 946-8012

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00016812
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1107168
WA
Enumeration date
01/18/2007
Last updated
09/09/2010
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