Individual
KISHORE SHM VARADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1445 SPAULDING AVE, RICHLAND, WA 99352
(509) 420-0423
(509) 627-2090
Mailing address
367 ROCKWOOD DRIVE, RICHLAND, WA 99352
(509) 539-4273
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10005331
WA
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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