Individual
PRAVEEN C KORIMERLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 GOETHALS DR, SUITE E, RICHLAND, WA 99352-3300
(509) 942-3095
(509) 942-3097
Mailing address
3900 S ZINTEL WAY, KENNEWICK, WA 99337-5092
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
243005
NY
207RC0000X
Cardiovascular Disease Physician
Primary
MD60403274
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538368360
—
WA
Enumeration date
06/13/2007
Last updated
07/25/2014
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