Individual
SANDEEP BAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 E. KINCAID STREET, MOUNT VERNON, WA 98274-4127
(360) 428-2592
(360) 428-2560
Mailing address
1400 E. KINCAID STREET, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 60067804
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263687
LABOR & INDUSTRIES
WA
01
—
MD 60067804
MEDICAL LICENSE
WA
Enumeration date
04/29/2008
Last updated
11/03/2010
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