Individual
SANTOSH KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3223 COLBY AVE, EVERETT, WA 98201-4306
(425) 258-6446
(425) 258-9696
Mailing address
3223 COLBY AVE, EVERETT, WA 98201-4306
(425) 258-6446
(425) 258-9696
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00014233
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017597
DEPT OF L & I
WA
05
—
1422609
—
WA
Enumeration date
12/05/2006
Last updated
07/08/2007
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