Individual
VIDHU S. PALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 S. 13TH STREET, SUITE 300, MOUNT VERNON, WA 98274-4127
(360) 336-9757
(360) 336-2088
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD60141482
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952341463
—
WA
01
—
270984
LABOR & INDUSTRIES
WA
Enumeration date
06/07/2006
Last updated
12/19/2013
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