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Individual

DR. SAI PRASANNA MANNEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
400 108TH AVE NE, BELLEVUE, WA 98004-5562
(425) 653-6350
Mailing address
400 108TH AVE NE, BELLEVUE, WA 98004-5562
(425) 653-6350

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60166525
WA

Other

Enumeration date
11/17/2007
Last updated
01/14/2011
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