Organization
DHIRENDRA MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHIRENDRA KUMAR MD (MD/OWNER)
(224) 766-9400
Entity
Organization
Contact information
Practice address
4018 166TH AVE NE, REDMOND, WA 98052-5400
(224) 766-9400
Mailing address
4018 166TH AVE NE, REDMOND, WA 98052-5400
(224) 766-9400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD60287313
WA MEDICAL LICENSE
WA
Enumeration date
11/05/2014
Last updated
11/05/2014
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