Organization
PEDIATRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHINDER SINGH BADYAL M.D. (PHYSICIAN)
(253) 661-5939
Entity
Organization
Contact information
Practice address
32124 1ST AVE S STE 100, FEDERAL WAY, WA 98003-5761
(253) 661-5939
(253) 661-5929
Mailing address
32124 1ST AVENUE S STE 100, FEDERAL WAY, WA 98003
(253) 661-5939
(253) 661-5929
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
MD00031337
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7056443
—
WA
Enumeration date
06/13/2008
Last updated
06/13/2008
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