Healthcare Provider Details

I. General information

NPI: 1679033997
Provider Name (Legal Business Name): AALAM SOHAL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2019
Last Update Date: 02/15/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3216 NE 45TH PL STE 212
SEATTLE WA
98105-4028
US

IV. Provider business mailing address

155 N FRESNO ST
FRESNO CA
93701-2302
US

V. Phone/Fax

Practice location:
  • Phone: 206-536-3030
  • Fax:
Mailing address:
  • Phone: 559-499-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License NumberMD.MD.61300211
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: