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
Phone: (253) 272-9994
Fax: (253) 572-0468
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669438339 | NPPES |
| Washington | MEDICAID | 8225245 | |
| Washington | Other | 04563177 | |
| Washington | Other | MD00036043 | |
| Washington | Other | 121911 |
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