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Individual

DR. ANAND SELVAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
530 BOGACHIEL WAY, FORKS, WA 98331
(360) 374-6271
Mailing address
1100 UNIVERSITY ST APT 1701, SEATTLE, WA 98101-3189
(610) 348-0462

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125630
OH
207P00000X
Emergency Medicine Physician
127708
AK
207P00000X
Emergency Medicine Physician
55175
CT
207P00000X
Emergency Medicine Physician
57.02092
OH
207P00000X
Emergency Medicine Physician
Primary
MD60824986
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/18/2012
Last updated
01/21/2021
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