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Individual

AMITOJ SINGH MARWAHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4011 TALBOT RD S, STE 500, RENTON, WA 98055-5773
(425) 251-5110
(425) 793-7376
Mailing address
PO BOX 59028, RENTON, WA 98058-2028
(425) 251-5110
(425) 793-4707

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2046-850
WI
207RC0000X
Cardiovascular Disease Physician
Primary
60331807
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2028478
WA
Enumeration date
03/04/2007
Last updated
11/14/2016
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