Individual
NISHANT PURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 W 8TH AVE STE 7050, SPOKANE, WA 99204-2362
(509) 252-1711
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 674-7245
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A110054
CA
207RG0100X
Gastroenterology Physician
A110054
CA
207RG0100X
Gastroenterology Physician
Primary
MD60443687
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2007
Last updated
06/23/2021
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