Individual
VASANTHI S GOWRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21601 76TH AVE W, EDMONDS, WA 98026-7507
(425) 640-4000
(425) 640-4010
Mailing address
PO BOX 25608, SEATTLE, WA 98165-1108
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00035840
WA
208M00000X
Hospitalist Physician
Primary
MD00035840
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194762922
—
WA
Enumeration date
06/01/2006
Last updated
09/18/2023
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