Bulusu, Kiranmayi

Bulusu, Kiranmayi is an individual health care provider with primary practice located at 16251 Sylvester Rd Sw , Burien WA 98166-3017. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Bulusu, Kiranmayi can be contacted via phone (253) 426-6341.

Contact Information

Primary practice address
16251 Sylvester Rd Sw Burien WA 98166-3017
Fax: (253) 426-6344
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD60380704 Washington

Profile Details

NPI number 1730481771
LBN Legal business name Bulusu, Kiranmayi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2010
Last updated Jan 20th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730481771 NPPES
Washington MEDICAID 2029539

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