Individual
DR. SAURABH KHANDELWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195
(206) 616-1711
Mailing address
PO BOX 50095, SEATTLE, WA 98145
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036117493
IL
208600000X
Surgery Physician
Primary
MD00049446
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231347
0231347
WA
05
—
1518145622
—
WA
Enumeration date
01/31/2008
Last updated
02/03/2012
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