Individual
DR. ASHOK JAMES PONNIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3900 CAPITAL MALL DR SW, OLYMPIA, WA 98502-8654
(360) 704-4743
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431
(253) 968-1110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1558
NE
207R00000X
Internal Medicine Physician
Primary
OP60935579
WA
Other
Enumeration date
02/07/2014
Last updated
10/11/2019
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