Individual
GAVIND H. NIAMATALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1717 S J ST STE 336, TACOMA, WA 98405-4933
(253) 426-4101
(253) 426-6936
Mailing address
1717 S J ST STE 336, TACOMA, WA 98405-4933
(253) 426-4101
(253) 426-6936
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00045977
WA
207R00000X
Internal Medicine Physician
31696
WV
207R00000X
Internal Medicine Physician
EMC0002355
MI
207R00000X
Internal Medicine Physician
Primary
MD00045977
WA
207R00000X
Internal Medicine Physician
MD26379
ME
207R00000X
Internal Medicine Physician
MD48511
IA
208M00000X
Hospitalist Physician
MD00045977
WA
Other
Enumeration date
06/04/2006
Last updated
09/21/2024
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