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Individual

PROMISH SHRESTHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 GYPSY LN, YOUNGSTOWN, OH 44504-1315
(425) 516-9577
Mailing address
500 GYPSY LN, YOUNGSTOWN, OH 44504-1315
(425) 516-9577

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015-01582
NC
207R00000X
Internal Medicine Physician
MD60613593
WA
208M00000X
Hospitalist Physician
Primary
MD60613593
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2051082
WA
Enumeration date
07/13/2012
Last updated
11/10/2021
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