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Individual

SANDEEP MADAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-6500
(206) 215-6599
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD60813499
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871523035
WA
Enumeration date
07/04/2006
Last updated
08/05/2020
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