Sanjeev Vaderah, MD
Internal Medicine, Interventional Cardiology in Mount Vernon, WA. Individual provider (NPI-1).
NPI number1790738532
StatusActive
Last updated in NPPESOct 5, 2012
Details
- NPI
- 1790738532
- Entity type
- Individual (NPI-1)
- Name
- Mr. Sanjeev Vaderah
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 19, 2006
- Last updated
- Oct 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | MD00035551 | WA | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | MD00035551 | WA | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | M9435 | ID |
Practice location
307 S. 13th St., Suite 300Skagit Regional Clinics-Cardiology
Mount Vernon, WA 98274
Phone 360-336-9757 · Fax 360-336-2088
Mailing address
1400 E. Kincaid St.Attn: Credentialing
Mount Vernon, WA 98274-4127
Phone 360-428-2500 · Fax 360-428-6485
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