Pungoti, Chetan
Pungoti, Chetan is an individual health care provider with primary practice located at 7320 216Th St Sw Ste 210 , Edmonds WA 98026-8006. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Pungoti, Chetan can be contacted via phone (425) 744-1777.Contact Information
Primary practice address
7320 216Th St Sw Ste 210
Edmonds WA 98026-8006
Phone: (425) 744-1777
Fax: (425) 744-1790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | MD60218272 | Washington |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD60218272 | Washington |
Profile Details
| NPI number | 1699986307 |
|---|---|
| LBN Legal business name | Pungoti, Chetan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Jan 14th, 2022 - about 2 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 | 1699986307 | NPPES |
| Washington | MEDICAID | 1699986307 |
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