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Individual

DR. JATINDER SINGH BANIPAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 827-8811
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61086045
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/12/2017
Last updated
04/15/2021
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