Healthcare Provider Details

I. General information

NPI: 1629157011
Provider Name (Legal Business Name): GURINDER P SAHI MD PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2006
Last Update Date: 09/01/2020
Certification Date: 09/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2217 152ND AVE NE STE 100
REDMOND WA
98052-5519
US

IV. Provider business mailing address

15127 NE 24TH ST PMB 510
REDMOND WA
98052-5544
US

V. Phone/Fax

Practice location:
  • Phone: 425-825-3900
  • Fax: 425-821-2549
Mailing address:
  • Phone: 425-825-3900
  • Fax: 425-821-2549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number602 621 198
License Number StateWA

VIII. Authorized Official

Name: DR. GURINDER P SAHI
Title or Position: CHAIRMAN
Credential: MD
Phone: 425-825-3900