Individual
DR. RUCHI THANAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
BAYSTATE MEDICAL CENTER, 759 CHESTNUT ST, SPRINGFIELD, MA 01199-0001
(413) 794-0000
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-7820
(503) 494-7829
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD61258693
WA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD201559
OR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD61258693
WA
Other
Enumeration date
04/14/2008
Last updated
09/02/2022
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