Provider Demographics
NPI:1629157011
Name:GURINDER P SAHI MD PS
Entity Type:Organization
Organization Name:GURINDER P SAHI MD PS
Other - Org Name:EVERGREEN INTERNISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GURINDER
Authorized Official - Middle Name:P
Authorized Official - Last Name:SAHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-825-3900
Mailing Address - Street 1:15127 NE 24TH ST
Mailing Address - Street 2:PMB 510
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-5544
Mailing Address - Country:US
Mailing Address - Phone:425-825-3900
Mailing Address - Fax:425-821-2549
Practice Address - Street 1:2217 152ND AVE NE STE 100
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-5519
Practice Address - Country:US
Practice Address - Phone:425-825-3900
Practice Address - Fax:425-821-2549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-04
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602 621 198261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service