Individual
DR. SIDDHARTH BHOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 PACIFIC AVE STE 300, EVERETT, WA 98201-4261
(425) 339-2433
(425) 339-8273
Mailing address
805 MADISON ST STE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD60753244
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2087634
—
WA
Enumeration date
08/04/2010
Last updated
08/05/2021
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