Organization
PEACE ARCH CARDIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJESH BHOLA MD (PRESIDENT)
(360) 594-4002
Entity
Organization
Contact information
Practice address
1215 OLD FAIRHAVEN PKWY, SUITE B, BELLINGHAM, WA 98225-7444
(360) 594-4002
(360) 594-4006
Mailing address
1215 OLD FAIRHAVEN PKWY, SUITE B, BELLINGHAM, WA 98225-7444
(360) 594-4002
(360) 594-4006
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00044996
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356365001
NPI
—
05
—
807261100
—
ID
Enumeration date
06/20/2008
Last updated
06/20/2008
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