Provider Demographics
NPI:1710102827
Name:GALA, VISHAL CHUNILAL (MD, MPH)
Entity Type:Individual
Prefix:
First Name:VISHAL
Middle Name:CHUNILAL
Last Name:GALA
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 16TH AVE E
Mailing Address - Street 2:CSB-3 NEUROSURGERY-GROUP HEALTH-CAPITAL HILL SOUTH BLDG
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-5211
Mailing Address - Country:US
Mailing Address - Phone:206-326-3080
Mailing Address - Fax:
Practice Address - Street 1:125 16TH AVE E
Practice Address - Street 2:CSB-3 NEUROSURGERY-GROUP HEALTH-CAPITAL HILL SOUTH BLDG
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-5211
Practice Address - Country:US
Practice Address - Phone:206-326-3080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA059154207T00000X
WA60164745207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP00440511OtherRAILROAD MEDICARE
GA778758753AMedicaid
GA778758753AMedicaid