Pulukurthy, Satyavardhan
Pulukurthy, Satyavardhan is an individual health care provider with primary practice located at 2709 Hemlock St , Bremerton WA 98310-2623. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Pulukurthy, Satyavardhan can be contacted via phone (360) 782-6000.Contact Information
Primary practice address
2709 Hemlock St
Bremerton WA 98310-2623
Phone: (360) 782-6000
Fax: (206) 965-4119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD00046428 | Washington |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD00046428 | Washington |
Profile Details
| NPI number | 1902838154 |
|---|---|
| LBN Legal business name | Pulukurthy, Satyavardhan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Dec 8th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902838154 | NPPES |
| Washington | MEDICAID | 1021738 | |
| Washington | MEDICAID | 8453888 |
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