Individual
GURPREET SINGH JOHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4011 TALBOT RD S STE 500, RENTON, WA 98055-5782
(425) 690-3482
(425) 690-9082
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
008736
GA
207RI0011X
Interventional Cardiology Physician
Primary
BC61197599
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2011
Last updated
12/13/2021
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