Individual
DR. KAVYASHRI KODLIPET JAGADEESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1330 ROCKEFELLER AVE STE 210, EVERETT, WA 98201-1676
(425) 261-4940
(425) 261-4932
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61170649
WA
Other
Enumeration date
08/12/2011
Last updated
02/04/2022
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