Healthcare Provider Details

I. General information

NPI: 1972532745
Provider Name (Legal Business Name): KAREN GEHEB M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 10/25/2023
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 W POPLAR ST
WALLA WALLA WA
99362-2846
US

IV. Provider business mailing address

825 SE BISHOP BLVD STE 200
PULLMAN WA
99163-5537
US

V. Phone/Fax

Practice location:
  • Phone: 509-897-3320
  • Fax:
Mailing address:
  • Phone: 509-332-2517
  • Fax: 509-334-9247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD00037033
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberM-7789
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: