Individual
PARVATHI MUDIGONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
(253) 596-3301
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60947017
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD60947017
WA
Other
Enumeration date
04/24/2012
Last updated
06/01/2023
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