Individual
ELENORE P BHATRAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
Mailing address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60480106
WA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
MD60480106
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134353857
—
WA
Enumeration date
05/08/2009
Last updated
07/14/2020
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