Velamoor, Gautam R.

Velamoor, Gautam R. is an individual health care provider with primary practice located at 1100 9Th Ave , Seattle WA 98101-2756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Velamoor, Gautam R. can be contacted via phone (206) 223-6198.

Contact Information

Primary practice address
1100 9Th Ave Seattle WA 98101-2756
Phone: (206) 223-6198
Fax: (206) 223-8824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD00044502 Washington

Profile Details

NPI number 1578760880
LBN Legal business name Velamoor, Gautam R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Jun 11th, 2010 - about 14 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 1578760880 NPPES
Washington MEDICAID 8493793
Washington Other 3460VE
Washington Other P00707717
Washington Other US9094075
Washington Other 8890836

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