Sudasena, Daryl
Sudasena, Daryl is an individual health care provider with primary practice located at 406 Black Hills Ln Sw , Olympia WA 98502-8143. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Sudasena, Daryl can be contacted via phone (360) 754-1735.Contact Information
Primary practice address
406 Black Hills Ln Sw
Olympia WA 98502-8143
Phone: (360) 754-1735
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R9445 | Texas |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 307858 | New York |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD61145791 | Washington |
Profile Details
NPI number | 1295153880 |
---|---|
LBN Legal business name | Sudasena, Daryl |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 1st, 2014 |
Last updated | May 3rd, 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.
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