Provider Demographics
NPI:1700480563
Name:WASHINGTON VASCULAR SERVICES AND MANAGEMENT PS
Entity Type:Organization
Organization Name:WASHINGTON VASCULAR SERVICES AND MANAGEMENT PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUMEET
Authorized Official - Middle Name:
Authorized Official - Last Name:SUBHERWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-323-2727
Mailing Address - Street 1:14343 SE 92ND ST
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98059-3477
Mailing Address - Country:US
Mailing Address - Phone:314-323-2727
Mailing Address - Fax:
Practice Address - Street 1:14343 SE 92ND ST
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:WA
Practice Address - Zip Code:98059-3477
Practice Address - Country:US
Practice Address - Phone:314-323-2727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty