Pothini, Gouri Bhawan
Pothini, Gouri Bhawan is an individual health care provider with primary practice located at 1455 Battersby Ave , Enumclaw WA 98022-3634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Pothini, Gouri Bhawan can be contacted via phone (360) 802-8800.Contact Information
Primary practice address
1455 Battersby Ave
Enumclaw WA 98022-3634
Phone: (360) 802-8800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD.60729650 | Washington |
Profile Details
| NPI number | 1710211487 |
|---|---|
| LBN Legal business name | Pothini, Gouri Bhawan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2009 |
| Last updated | Dec 27th, 2017 - about 7 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 | 1710211487 | NPPES |
| Washington | MEDICAID | 000000 |
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