Individual
MR. SANJEEV VADERAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 S. 13TH ST., SUITE 300, SKAGIT REGIONAL CLINICS-CARDIOLOGY, MOUNT VERNON, WA 98274
(360) 336-9757
(360) 336-2088
Mailing address
1400 E. KINCAID ST., ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
M9435
ID
207RC0000X
Cardiovascular Disease Physician
MD00035551
WA
207RI0011X
Interventional Cardiology Physician
Primary
MD00035551
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231330
L&I
WA
05
—
8294514
—
WA
Enumeration date
05/19/2006
Last updated
10/05/2012
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