Individual
MITUL KANZARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1016 TACOMA AVE, SUNNYSIDE, WA 98944-2263
(509) 837-1500
(509) 837-4908
Mailing address
2500 ENGLISH CREEK AVE, SUITE 602, EGG HARBOR TOWNSHIP, NJ 08234
(609) 407-2337
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA10166600
NJ
207RI0011X
Interventional Cardiology Physician
Primary
MD61239644
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2259674
—
WA
Enumeration date
06/08/2010
Last updated
07/07/2025
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