Individual
MR. GAURAV KUMAR BANSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-3300
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DOL.OL.60473435
WA
Other
Enumeration date
04/28/2014
Last updated
07/21/2015
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