Healthcare Provider Details

I. General information

NPI: 1114943669
Provider Name (Legal Business Name): INLAND OBSTETRICS AND GYNECOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W 8TH AVE STE 6020
SPOKANE WA
99204-2319
US

IV. Provider business mailing address

105 W 8TH AVE STE 6020
SPOKANE WA
99204-2319
US

V. Phone/Fax

Practice location:
  • Phone: 509-455-5050
  • Fax: 509-789-6204
Mailing address:
  • Phone: 509-455-5050
  • Fax: 509-789-6204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD00018379
License Number StateWA

VIII. Authorized Official

Name: DR. STEPHEN PAKKIANATHAN
Title or Position: OWNER/PRESIDENT
Credential: M.D.
Phone: 509-455-5050