Kiwalkar, Sonam Ravindra

Kiwalkar, Sonam Ravindra is an individual health care provider with primary practice located at 700 Ne 87Th Ave Ste 330 , Vancouver WA 98664-4896. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Kiwalkar, Sonam Ravindra can be contacted via phone (360) 882-2778.

Contact Information

Primary practice address
700 Ne 87Th Ave Ste 330 Vancouver WA 98664-4896
Fax: (360) 604-1730
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD61065748 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD194449 Oregon
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD194449 Oregon
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD61065748 Washington

Profile Details

NPI number 1609215987
LBN Legal business name Kiwalkar, Sonam Ravindra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2013
Last updated Oct 14th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609215987 NPPES
Washington MEDICAID 2041321

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