Wadwa, Kalyan S.
Wadwa, Kalyan S. is an sole proprietor health care provider with primary practice located at 1400 E. Kincaid Street , Mount Vernon WA 98274-4127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Wadwa, Kalyan S. can be contacted via phone (360) 428-2555.Contact Information
Primary practice address
1400 E. Kincaid Street
Mount Vernon WA 98274-4127
Phone: (360) 428-2555
Fax: (360) 428-6402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 39078 | Washington |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 21405 | Nebraska |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 9801542 | North Carolina |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 48268 | Maryland |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD00039078 | Washington |
Profile Details
| NPI number | 1730260761 |
|---|---|
| LBN Legal business name | Wadwa, Kalyan S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Nov 3rd, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730260761 | NPPES |
| Washington | Other | 263671 | LABOR & INDUSTRIES |
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