Podhaisky, Gary M

Podhaisky, Gary M is an individual health care provider with primary practice located at 3900 Zintel Way , Kennewick WA 99338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Podhaisky, Gary M can be contacted via phone (509) 942-3125.

Contact Information

Primary practice address
3900 Zintel Way Kennewick WA 99338
Phone: (509) 942-3125
Fax: (509) 783-2167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9069 Nevada
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00048590 Washington

Profile Details

NPI number 1528168432
LBN Legal business name Podhaisky, Gary M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jun 22nd, 2021 - 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 1528168432 NPPES
Washington MEDICAID 8493496

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