Individual
DR. SUMEET SUBHERWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 MAIN ST, DANVILLE, VA 24541-1816
(434) 792-1433
(434) 797-2807
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4940
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101268494
VA
207RC0000X
Cardiovascular Disease Physician
Primary
MD60516110
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2042845
—
WA
01
—
G8938178
MEDICARE W VALLEY MEDICAL GROUP - RENTON
WA
Enumeration date
10/13/2006
Last updated
06/29/2020
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