Individual
BALJIT K BANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1500
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00042783
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8410888
—
WA
Enumeration date
04/11/2007
Last updated
05/09/2008
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