Basic Information
| Provider Information | |||||||||
| NPI: | 1629157011 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | GURINDER P SAHI MD PS | ||||||||
| LastName: | |||||||||
| FirstName: | |||||||||
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| OtherOrganizationName: | EVERGREEN INTERNISTS | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15127 NE 24TH ST | ||||||||
| Address2: | PMB 510 | ||||||||
| City: | REDMOND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980525544 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4258253900 | ||||||||
| FaxNumber: | 4258212549 | ||||||||
| Practice Location | |||||||||
| Address1: | 2217 152ND AVE NE STE 100 | ||||||||
| Address2: | |||||||||
| City: | REDMOND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980525519 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4258253900 | ||||||||
| FaxNumber: | 4258212549 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/04/2006 | ||||||||
| LastUpdateDate: | 09/01/2020 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | SAHI | ||||||||
| AuthorizedOfficialFirstName: | GURINDER | ||||||||
| AuthorizedOfficialMiddleName: | P | ||||||||
| AuthorizedOfficialTitleorPosition: | CHAIRMAN | ||||||||
| AuthorizedOfficialTelephone: | 4258253900 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 09/01/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QH0100X | 602 621 198 | WA | Y | Ambulatory Health Care Facilities | Clinic/Center | Health Service |
No ID Information.