Individual
SOUMYA PARIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 428-2550
(360) 428-6402
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35.099901
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD60020451
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME142566
FL
207RP1001X
Pulmonary Disease Physician
35.099901
OH
207RP1001X
Pulmonary Disease Physician
MD60020451
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0239213
L&I
WA
01
—
0284579
DEPT OF LABOR AND INDUSTRIES
WA
05
—
1174667570
—
WA
05
—
8487571
—
WA
Enumeration date
02/18/2007
Last updated
10/13/2020
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