Individual
SANKAR S ALAGUGURUSAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 814-6113
(360) 814-6110
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
267556
NY
207RG0100X
Gastroenterology Physician
M2530
TX
207RG0100X
Gastroenterology Physician
Primary
MD60404231
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093970576
—
WA
Enumeration date
07/23/2008
Last updated
09/09/2013
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