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Individual

GUNJAN MITESH DALAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-2520
(206) 386-3180
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60165782
WA
208M00000X
Hospitalist Physician
MD60165782
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2010975
WA
Enumeration date
04/08/2008
Last updated
06/26/2025
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