Individual
PADHMA VENKITAPATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10555 SE CARR RD, RENTON, WA 98055
(425) 690-3510
(425) 690-9510
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO60841435
WA
Other
Enumeration date
04/08/2015
Last updated
09/25/2019
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