Individual
MR. WASSIM A. KHAWANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 N COLORADO ST STE A, KENNEWICK, WA 99336-7845
(509) 942-3156
(509) 735-6998
Mailing address
550 GAGE BLVD, STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00043231
WA
207R00000X
Internal Medicine Physician
MD24992
OR
207RN0300X
Nephrology Physician
Primary
MD00043231
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0258390
LABOR & INDUSTRIES
WA
05
—
277863
—
OR
05
—
8415689
—
WA
01
—
G8851019
GROUP MEDICARE PIN
WA
01
—
R130644
GROUP MEDICARE PIN
OR
Enumeration date
03/09/2006
Last updated
05/19/2021
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