| NPI | 1750759429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMANDEEP SINGH SIDHU Medical Director 425-250-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2025-08-01 |