Provider Demographics
NPI:1588862924
Name:DEOL, GUR RAJ S (MD)
Entity type:Individual
Prefix:
First Name:GUR RAJ
Middle Name:S
Last Name:DEOL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:519 S. PEABODY
Mailing Address - Street 2:STE 3
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362
Mailing Address - Country:US
Mailing Address - Phone:360-565-9237
Mailing Address - Fax:360-582-9241
Practice Address - Street 1:2980 SQUALICUM PKWY STE 301
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1880
Practice Address - Country:US
Practice Address - Phone:360-788-6112
Practice Address - Fax:360-788-6114
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2019-07-30
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Provider Licenses
StateLicense IDTaxonomies
WAMD60138552207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine