Individual
SANJEEV GARHWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12728 19TH AVENUE SE, SUITE 200, EVERETT, WA 98208-6526
(425) 225-2700
(425) 225-2790
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD00043537
WA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD00043537
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0199494
LABOR AND INDUSTRY
WA
05
—
8397481
—
WA
01
—
MD00043537
STATE LICENSE NUMBER
WA
01
—
P00146754
RAILROAD MEDICARE
WA
Enumeration date
05/26/2006
Last updated
03/09/2018
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