Individual
SUMAN L. TEWARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12040 NE 128TH ST, MS 105, KIRKLAND, WA 98034-3013
(425) 899-2560
Mailing address
PO BOX 34036, SEATTLE, WA 98124-1036
(425) 899-3292
(425) 899-3269
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00045476
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8432551
—
WA
Enumeration date
10/19/2005
Last updated
06/17/2010
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