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Individual

SHWETA BALIGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1135 116TH AVE NE, STE 110, BELLEVUE, WA 98004-4623
(425) 289-3100
Mailing address
1135 116TH AVE NE, STE 110, BELLEVUE, WA 98004-4623
(425) 289-3100

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00044544
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0195418
L & I PROVIDER NUMBER
WA
01
7168737
AETNA PROVIDER NUMBER
WA
01
8154HE
REGENCE RIDER NUMBER
WA
05
8423964
WA
01
911203494CA
KPS PROVIDER NUMBER
WA
01
98375B016
TRICARE PROVIDER NUMBER
WA
Enumeration date
05/22/2006
Last updated
04/17/2015
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