Individual
DR. KULLATHAM KONGPAKPAISARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD61436567
WA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
61436567
WA
Other
Enumeration date
06/06/2016
Last updated
10/30/2023
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