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Individual

RAKESH REDDY TEKULAPALLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 426-6341
(253) 426-6344
Mailing address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 426-6341
(253) 426-6344

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60342138
WA
208M00000X
Hospitalist Physician
Primary
MD60342138
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2033015
WA
Enumeration date
06/22/2009
Last updated
09/27/2024
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