Individual
SONAM RAVINDRA KIWALKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 NE 87TH AVE STE 330, VANCOUVER, WA 98664-4896
(360) 882-2778
(360) 604-1730
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-4300
(503) 494-4323
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD194449
OR
207R00000X
Internal Medicine Physician
MD61065748
WA
207RR0500X
Rheumatology Physician
MD194449
OR
207RR0500X
Rheumatology Physician
Primary
MD61065748
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2041321
—
WA
Enumeration date
06/19/2013
Last updated
10/14/2020
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