Individual
GIRISH MOHAN BHAMBHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1291
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1291
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD60225872
WA
207Q00000X
Family Medicine Physician
MT185108
PA
208M00000X
Hospitalist Physician
MD432434
PA
208M00000X
Hospitalist Physician
Primary
MD60225872
WA
Other
Enumeration date
05/17/2007
Last updated
12/08/2015
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