Provider Demographics
NPI:1043468028
Name:NIRMAL, HEMA (MD)
Entity type:Individual
Prefix:
First Name:HEMA
Middle Name:
Last Name:NIRMAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37624 SE FURY ST
Mailing Address - Street 2:STE 101
Mailing Address - City:SNOQUALMIE
Mailing Address - State:WA
Mailing Address - Zip Code:98065-9589
Mailing Address - Country:US
Mailing Address - Phone:425-888-2016
Mailing Address - Fax:206-320-5170
Practice Address - Street 1:37624 SE FURY ST
Practice Address - Street 2:STE 101
Practice Address - City:SNOQUALMIE
Practice Address - State:WA
Practice Address - Zip Code:98065-9589
Practice Address - Country:US
Practice Address - Phone:425-888-2016
Practice Address - Fax:206-320-5170
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00049143208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics