MR. SANJEEV VADERAH


Address: 307 S. 13th St., Suite 300, Skagit Regional Clinics-cardiology, Mount Vernon, WA 98274
Phone: 3603369757

MR. SANJEEV VADERAH (NPI# 1790738532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790738532
Entity Type Individual
Full Name MR. SANJEEV VADERAH
Credential MD
Practice Address 307 S. 13th St., Suite 300
Skagit Regional Clinics-cardiology
Mount Vernon
WA 98274
Mailing Address 1400 E. Kincaid St.
Attn: Credentialing
Mount Vernon
WA 98274-4127
Practice Telephone 3603369757
Practice Fax Number 3603362088
Mailing Telephone 3604282500
Mailing Fax Number 3604286485
Enumeration Date 2006-05-19
Last Update Date 2012-10-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
M9435 ID Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
MD00035551 WA Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
MD00035551 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA L&I 0231330 01
WA 8294514 05

Office Location

Street Address 307 S. 13TH ST., SUITE 300
SKAGIT REGIONAL CLINICS-CARDIOLOGY
City MOUNT VERNON
State WA
Zip Code 98274

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881123438 Ankur Tarun Sanghvi Peer Specialist 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 2017-06-07
1932647187 Claudia Diaz Counselor 23550 Garden St, Mount Vernon, WA 98274 2017-02-08
1871042002 Richard Simcock Dds, Ps Dentist 130 S 15th St Suite 101, Mount Vernon, WA 98274 2016-09-29
1528228186 Parampreet Singh Ghuman Internal Medicine 121 S. 12th St, Ste B, Mount Vernon, WA 98274 2008-06-16
1699940874 Eugene Villanueva De Guzman Internal Medicine 208 S Hospital Pkwy, Mount Vernon, WA 98274 2008-04-28
1871775122 Matthew John Novak Internal Medicine 208 Hospital Pkwy, Mount Vernon, WA 98274 2007-11-28
1568658797 Emily A K Bianconi Nurse Practitioner 2101 Little Mountain Lane, Mount Vernon, WA 98274 2007-09-21
1659576981 Peggy Randall Counselor 1420 S 12th, Mount Vernon, WA 98274 2007-06-18
1194937037 Cascade Neurologic Clinic, Inc, P.s. Clinic/Center 1315 East Division St., Mt. Vernon, WA 98274 2007-05-04
1427171297 Keri L D Halgren Dentist 1711 E Division Street, Mt Vernon, WA 98274 2007-04-09
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982905923 J. Randall Farrar, Md Internal Medicine 1155 Jadwin Ave, Richland, WA 99352-3434 2010-11-08
1679522106 Inland Cardiology Associates, P.s. Internal Medicine 122 West 7th Avenue, Suite 450, Spokane, WA 99204-4332 2006-05-10
1871986455 Sunnyside Community Hospital Association Internal Medicine 812 Miller Ave, Sunnyside, WA 98944-2374 2015-03-06
1568892586 Shenjing Li Internal Medicine 200 Ne Mother Joseph Pl Ste 400, Vancouver, WA 98664-3290 2013-11-13
1023389061 Henry Chu Internal Medicine 700 Ne 87th Ave Ste 210, Vancouver, WA 98664 2012-01-23
1225311756 Danny Dvir Internal Medicine 1959 Ne Pacific St, Seattle, WA 98195-0001 2011-09-21
1841510310 Kenta Nakamura Internal Medicine 1959 Ne Pacific St, Seattle, WA 98195-0001 2010-06-08
1588989032 Patrick John Goleski Internal Medicine 1959 Ne Pacific St, Seattle, WA 98195-0001 2010-03-27
1508196833 Jacob Appel Doll Internal Medicine 1959 Ne Pacific St, Seattle, WA 98195-0001 2010-01-08
1811225923 Gopal Ghimire Internal Medicine 500 Lilly Rd Ne Ste 100, Providence Cardiology Associates, Olympia, WA 98506-5195 2009-12-01
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Competitor

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City MOUNT VERNON
Zip Code 98274

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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