| NPI | 1811233414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHORE S H M VARADA Chairman/CEO 509-539-4273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: WA MD 00038336) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: WA MD 00038813) |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA 10005331) | |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2012-12-31 |