Sundarum, Srini V

Sundarum, Srini V is an individual health care provider with primary practice located at 3315 S 23Rd St Suite 200, Tacoma WA 98405-1605. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sundarum, Srini V can be contacted via phone (253) 272-9994.

Contact Information

Primary practice address
3315 S 23Rd St Suite 200 Tacoma WA 98405-1605
Fax: (253) 572-0468
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00036043 Washington

Profile Details

NPI number 1669438339
LBN Legal business name Sundarum, Srini V
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated May 20th, 2021 - about 3 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 1669438339 NPPES
Washington MEDICAID 8225245
Washington Other 04563177
Washington Other MD00036043
Washington Other 121911

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