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Individual

SUCHIT KHANIJAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 LILLY RD NE STE 204, OLYMPIA, WA 98506-5197
(360) 413-8272
(360) 413-8878
Mailing address
500 LILLY RD NE STE 204, OLYMPIA, WA 98506-5197

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
284829
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
284829
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD61189995
WA
207RP1001X
Pulmonary Disease Physician
284829
NY
207RP1001X
Pulmonary Disease Physician
Primary
MD61189995
WA
208M00000X
Hospitalist Physician
284829
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/03/2013
Last updated
11/10/2021
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