Individual
DR. SUDHA PIDIKITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-1500
(360) 253-3515
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-1500
(360) 253-3515
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
49177-020
WI
207RN0300X
Nephrology Physician
MD25928
OR
207RN0300X
Nephrology Physician
Primary
MD60044234
WA
Other
Enumeration date
10/15/2006
Last updated
11/03/2008
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